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Individual

SARAH PENISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(800) 677-1202
Mailing address
9723 CONCORD HILLS CT, SAINT LOUIS, MO 63123-6274

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005000220
MO

Other

Enumeration date
12/10/2009
Last updated
12/10/2009
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