Individual
DIANNE HISCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-2594
(636) 447-1098
Mailing address
5400 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-2594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116724
MO
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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