Individual
AMANDA SARLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
15834 CLAYTON RD, ELLISVILLE, MO 63011-2212
(636) 373-2615
Mailing address
5659 GUTERMUTH RD, SAINT CHARLES, MO 63304-7607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006038820
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484904800
—
MO
Enumeration date
02/05/2007
Last updated
02/28/2013
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