Individual
EMMA LOUISE MALLETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9073 W SWAN CIR, SAINT LOUIS, MO 63144-1646
(618) 979-0158
Mailing address
9073 W SWAN CIR, SAINT LOUIS, MO 63144-1646
(618) 979-0158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019018236
MO
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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