Individual
SARAH JANE WALLINGSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
853 MEDICAL DR STE 109, WENTZVILLE, MO 63385-3825
(636) 327-7240
(636) 327-7249
Mailing address
826 WOOLWICK CT, SAINT CHARLES, MO 63304-6944
(636) 928-2165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013004057
MO
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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