Individual
VONDA K CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
4355 MARYLAND AVE, APT 328, SAINT LOUIS, MO 63108-2737
(636) 734-5993
Mailing address
4355 MARYLAND AVE, APT 328, SAINT LOUIS, MO 63108-2737
(636) 734-5993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116460
MO
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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