Individual
MRS. BROOKE MARIE KALISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2961 DOUGHERTY FERRY RD, SUITE 105, SAINT LOUIS, MO 63122-3374
(636) 225-3649
(888) 494-7074
Mailing address
2961 DOUGHERTY FERRY RD, SUITE 105, SAINT LOUIS, MO 63122-3374
(636) 225-3649
(888) 494-7074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70013529
MO
Other
Enumeration date
08/31/2006
Last updated
05/06/2009
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