Individual
MRS. KIMBERLY DIANE LEVENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3437 CAROLINE ST, ROOM 1026, SAINT LOUIS, MO 63104-1111
(314) 977-8548
Mailing address
506 WEBSTER PATH CT, SAINT LOUIS, MO 63119-3941
(314) 963-1171
(314) 968-8298
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1887
MO
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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