Individual
MISS MOIRA ANNE OSTRANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4200 N CLOVERLEAF DR STE J, SAINT PETERS, MO 63376-6436
(636) 922-4700
(636) 922-4505
Mailing address
4200 N CLOVERLEAF DR STE J, SAINT PETERS, MO 63376-6436
(636) 922-4700
(636) 922-4505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016037453
MO
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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