Individual
SIERRA ELIZABETH BAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5116 SOUTHWEST AVE UNIT A, SAINT LOUIS, MO 63110-3430
(206) 802-5822
Mailing address
5116 SOUTHWEST AVE UNIT A, SAINT LOUIS, MO 63110-3430
(206) 802-5822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1361735
TX
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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