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Individual

MARY REBECCA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
3950 VOGEL RD, ARNOLD, MO 63010-3790
(314) 842-2990
(314) 842-5162
Mailing address
13537 BARRETT PARKWAY DR, SUITE 105, BALLWIN, MO 63021-5899
(314) 821-9126
(314) 821-9142

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007000363
MO

Other

Enumeration date
06/21/2007
Last updated
07/26/2007
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