Individual
DIONNESHAE MONIQUE FORLAND I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9191 W FLORISSANT AVE, SUITE 200, SAINT LOUIS, MO 63136-1424
(314) 524-3958
(314) 524-3959
Mailing address
9191 W FLORISSANT AVE, SUITE 200, SAINT LOUIS, MO 63136-1424
(314) 524-3958
(314) 524-3959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117525
MO
Other
Enumeration date
07/03/2009
Last updated
06/18/2013
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