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Individual

MRS. PATRICIA GAYLE WOHLGEMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A

Contact information

Practice address
9645 BIG BEND BLVD, SAINT LOUIS, MO 63122-6521
(314) 968-5460
Mailing address
16325 JUSTUS POST RD, CHESTERFIELD, MO 63017-4607
(319) 321-4101

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00933
IA
225200000X
Physical Therapy Assistant
2020042536
MO

Other

Enumeration date
06/08/2006
Last updated
04/27/2021
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