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Individual

EVELYN BARTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1700B GILSINN LN, FENTON, MO 63026-2004
(636) 343-5926
(636) 343-5926
Mailing address
1700B GILSINN LN, FENTON, MO 63026-2004
(636) 343-5926
(636) 343-5926

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01617
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
483093423
MO
Enumeration date
06/28/2006
Last updated
09/16/2011
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