Richard Sebastian Pagano, PT Valid NPI
Individual provider · Physical Therapist · O Fallon, MO
- NPI
- 1023328622
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 113783 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-10-15
- Last updated
- 2010-10-15
Practice location
1601 E Terra Ln
O Fallon, MO 63366-4414
(636) 978-6634