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Individual

ANNETTE KAY SCHWANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
105 SPRUCE ST, FREDERICKTOWN, MO 63645-1002
(573) 783-3993
Mailing address
21697 CHESTNUT RIDGE RD, FARMINGTON, MO 63640-8748
(573) 756-8409

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
116486
MO
225700000X
Massage Therapist
Primary
2002024931
MO

Other

Enumeration date
11/19/2007
Last updated
11/19/2007
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