Individual
PATRICIA ACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12955 ENTERPRISE WAY, BRIDGETON, MO 63044-1206
(314) 839-0002
Mailing address
406 TANGLEWOOD DR, SAINT LOUIS, MO 63124-2029
(314) 567-7647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02205
LICENSE #
MO
Enumeration date
08/21/2006
Last updated
07/08/2007
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