Individual
JANINE M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11433 OLDE CABIN RD, SAINT LOUIS, MO 63141-7136
(314) 432-4080
Mailing address
929 KIEFER TRAILS DR, BALLWIN, MO 63021-6078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100779
MO
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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