Individual
SUZANNE R KISSLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6154
Mailing address
1438 LANVALE DR, SAINT LOUIS, MO 63119-5204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119326
MO
Other
Enumeration date
01/15/2007
Last updated
10/25/2012
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