NPI 1023142601

Lyra Rivera Phan, PT

Practitioner Physical Therapist Florissant, MO

Practice location

Address: 250 New Florissant Rd S, Florissant, MO 63013
Phone: (314) 830-7950
Mailing address: 12858 Strathearn Dr, St Louis, MO 63146

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 100097 (MO)

Other Physical Therapist providers in Missouri →

Registry record

NPI: 1023142601
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.