Individual
MRS. STACEY ANN ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
53 FENTON PLZ, FENTON, MO 63026-4110
(636) 493-8646
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 206-4225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105713
MO
Other
Enumeration date
08/29/2006
Last updated
10/20/2023
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