Individual
LISA BUCHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3501 DUNN RD, SUITE 108, FLORISSANT, MO 63033-6762
(314) 839-5994
Mailing address
3501 DUNN RD, SUITE 108, FLORISSANT, MO 63033-6762
(314) 839-5994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007006871
MO
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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