Individual
MIA GUETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
463 LYNN HAVEN LN, HAZELWOOD, MO 63042-1808
(314) 731-0448
Mailing address
463 LYNN HAVEN LN, HAZELWOOD, MO 63042-1808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024037073
MO
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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