Doctor Name: | DR. JONATHAN DAVID DREW |
NPI Number: | 1063745487 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 05009876A |
Business Practice Address: | 12266 Depaul Drive Suite 115 Bridgeton, MO - 63044 |
Business Phone Number: | 3142097700 |
Business Fax Number: | |
Mailing Address: | 4527 Oakland Ave, A SAINT LOUIS |
State: | MO |
Postal Code: | 631101522 |
Phone Number: | 8124492521 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 07/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05009876A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |