Individual
FERUZA YURDANIDZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MERAMEC BLUFFS DR, BALLWIN, MO 63021-3309
(636) 861-0600
Mailing address
2516 CARDINAL CREEK CT, SAINT LOUIS, MO 63129-4660
(314) 600-3226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2022013533
MO
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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