Individual
LAURA CLASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13610 BARRETT OFFICE DR STE 104, BALLWIN, MO 63021-7818
(314) 822-5107
(314) 822-5106
Mailing address
13610 BARRETT OFFICE DR STE 104, BALLWIN, MO 63021-7818
(314) 822-5107
(314) 822-5106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02248
PT LICENSE #
MO
Enumeration date
03/06/2017
Last updated
03/06/2017
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