Individual
AMANDA HEPPERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C., P.T.A.
Contact information
Practice address
107 PIPER HILL DR, STE 160, SAINT PETERS, MO 63376-1651
(636) 928-7065
Mailing address
1 KING EDWARD CT, O FALLON, MO 63366-7909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116752
MO
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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