Provider Demographics
NPI:1851605596
Name:CHARD, SALLY ANN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:ANN
Last Name:CHARD
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:307 NOONAN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PACIFIC
Mailing Address - State:MO
Mailing Address - Zip Code:63069-1136
Mailing Address - Country:US
Mailing Address - Phone:636-271-9995
Mailing Address - Fax:636-271-9151
Practice Address - Street 1:307 NOONAN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PACIFIC
Practice Address - State:MO
Practice Address - Zip Code:63069-1136
Practice Address - Country:US
Practice Address - Phone:636-271-9995
Practice Address - Fax:636-271-9151
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO01629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist