Individual
JOHANNA MARIA PANIAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4108
(800) 228-5459
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4108
(800) 228-5459
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
2008016030
MO
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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