Individual
KATHRYN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2532 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3131
(314) 845-0068
Mailing address
3505 SHENANDOAH AVE UNIT D, SAINT LOUIS, MO 63104-1723
(314) 772-8874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014517
LICENSE #
IL
01
—
2002004670
LICENSE #
—
Enumeration date
08/29/2006
Last updated
03/01/2010
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