Individual
BETHANY STENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 DILLON PLAZA DR, HIGH RIDGE, MO 63049-2478
(636) 677-3100
Mailing address
6070 ARBORFIELD CT, SAINT LOUIS, MO 63129-4719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-014465
LICENSE #
IL
01
—
2003025744
MISSOURI PHYSICAL THERAPIST LICENSE
MO
Enumeration date
09/13/2006
Last updated
06/17/2009
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