Ian Lei Modde, PT, DPT
NPI #1962279653 in Maryland Heights, Missouri
Provider Information
- NPI Number
- 1962279653
- Entity Type
- Individual
- Name
- Ian Lei Modde, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Pediatrics
- Credential
- PT, DPT
- Enumeration Date
- Dec 4, 2023
- Last Updated
- Dec 4, 2023
Practice Location
- Address
- 11365 DORSETT RD
- City
- Maryland Heights
- State
- Missouri
- ZIP Code
- 63043-3411
- Phone
- (314) 872-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
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