Individual
MISS KARA A JERSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
10 S EUCLID, SUITE G, SAINT LOUIS, MO 63108
(314) 276-1789
(314) 972-0472
Mailing address
10 S EUCLID, SUITE G, SAINT LOUIS, MO 63108
(314) 276-1789
(314) 972-0472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118023
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484888227
—
MO
Enumeration date
09/07/2007
Last updated
09/07/2007
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