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Individual

MARIS O'MALLEY EBELING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1055 BELLEVUE AVE, RICHMOND HEIGHTS, MO 63117-1827
(314) 644-1978
Mailing address
6359 WATERMAN AVE, SAINT LOUIS, MO 63130-4708
(314) 799-9275

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/26/2023
Last updated
05/26/2023
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