Individual
LAURA ANN EDMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
17300 N OUTER 40 RD, SUITE 202, CHESTERFIELD, MO 63005-1364
(636) 728-1777
(636) 728-1793
Mailing address
17300 N OUTER 40 RD, SUITE 202, CHESTERFIELD, MO 63005-1364
(636) 728-1777
(636) 728-1793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010003418
MO
Other
Enumeration date
02/02/2010
Last updated
09/23/2014
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