Individual
IVANA HANZELKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817
(800) 677-1202
Mailing address
10720 LISA MARIE CT, SAINT LOUIS, MO 63123-6122
(314) 849-9493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117666
MO
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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