William G Peroutka, M.P.T., A.T.C. Valid NPI

Individual provider · Physical Therapist · O Fallon, MO

NPI

1467565929

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

2001007779 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-17

Last updated

2008-01-17