Individual
MRS. PAMELA J LANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, NCS
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
Mailing address
9717 GENTRY AVE, SAINT LOUIS, MO 63125-1913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007029456
MO
Other
Enumeration date
04/27/2007
Last updated
03/12/2009
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