Individual
JACQUELINE KAYE ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3488 JEFFCO BLVD, SUITE 102, ARNOLD, MO 63010-6015
(636) 464-5439
Mailing address
1 WINTER RIVER CT, FENTON, MO 63026-8009
(314) 974-5018
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2009024428
MO
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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