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Individual

MADALYNN L LENGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12380 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 447-9710
(314) 447-9711
Mailing address
12380 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 447-9710
(314) 447-9711

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2015003458
MO

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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