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Ian Lei Modde, PT,DPT
Pediatric Physical Therapist in Maryland Heights, Missouri
NPI 1962279653

Ian Lei Modde is a Pediatric Physical Therapist based in Saint Louis, MO and is specialized in Pediatrics. Ian Lei Modde practices in Maryland Heights, MO and has the professional credentials of PT,DPT. The NPI Number for Ian Lei Modde is 1962279653 and holds a License No. (Missouri).

The current practice location address for Ian Lei Modde is 11365 Dorsett Rd, Maryland Heights, MO and can be reached out via phone at 314-872-6400.

Location: 11365 Dorsett Rd, Maryland Heights, MO, 63122-4133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962279653
Provider Name
Ian Lei Modde
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Male
Address
11365 Dorsett Rd, Maryland Heights, MO, 63122-4133
Phone Number
314-872-6400
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11365 Dorsett Rd
City
Maryland Heights
State
Missouri
Zip
63043-3411
Phone Number
314-872-6400
Fax Number
person
Provider Business Mailing Address Details
Address
11365 Dorsett Rd
City
Maryland Heights
State
Missouri
Zip
63043-3411
Phone Number
314-872-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
(Missouri)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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