Individual
JENNIFER DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2811 SPRINGRIDGE DR, SAINT LOUIS, MO 63129-3520
(314) 221-2995
Mailing address
2811 SPRINGRIDGE DR, SAINT LOUIS, MO 63129-3520
(314) 221-2995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011021989
MO
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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