Individual
STEFANI BUADE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
1137 LINDENWOOD AVE, SAINT CHARLES, MO 63301-0803
(786) 385-2540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021011638
MO
Other
Enumeration date
05/25/2021
Last updated
04/18/2024
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