Individual
MS. CONNIE STADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14795 GREENLOCH CT, CHESTERFIELD, MO 63017-5518
(314) 580-8900
Mailing address
27 WHITE PLAINS DR, CHESTERFIELD, MO 63017-2039
(314) 580-8900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010027326
MO
225200000X
Physical Therapy Assistant
2081338
TX
Other
Enumeration date
04/21/2011
Last updated
11/02/2021
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