Individual
MRS. LISA BENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3809 LEMAY FERRY RD, SAINT LOUIS, MO 63125-4535
(314) 339-7430
(314) 449-9173
Mailing address
14918 GREENBERRY HILL CT, CHESTERFIELD, MO 63017-7705
(404) 375-9768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116837
MO
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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