Individual
SUSAN JANE LAGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
19538 PIKE 266, EOLIA, MO 63344-4014
(573) 485-6316
(573) 485-6316
Mailing address
19538 PIKE 266, EOLIA, MO 63344-4014
(573) 485-6316
(573) 485-6316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT109456
MO
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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