| Doctor Name: | CHARLES B MCDONNELL |
| NPI Number: | 1427002476 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, CHT |
| License Number: | 9209001425 |
| Business Practice Address: | 4800 Mexico Rd Suite 104 St Peters, MO - 633761666 |
| Business Phone Number: | 6369399540 |
| Business Fax Number: | 6369399886 |
| Mailing Address: | 2454 W Clay St, SAINT CHARLES |
| State: | MO |
| Postal Code: | 633012548 |
| Phone Number: | 6369164625 |
| Fax Number: | 6369164628 |
| NPI Enumeration Date: | 05/22/2006 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251H1200X |
| License Number: | 9209001425 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |