Individual
LAURA A WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4335 W PINE BLVD, SAINT LOUIS, MO 63108-2205
(314) 615-9615
Mailing address
4335 W PINE BLVD, SAINT LOUIS, MO 63108-2205
(314) 615-9615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160005741
IL
225200000X
Physical Therapy Assistant
Primary
2011032480
MO
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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