Individual
MRS. LAURA M MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6555 CHIPPEWA ST, SAINT LOUIS, MO 63109-4110
(314) 781-0011
(314) 781-0410
Mailing address
5604 ROSA AVE, SAINT LOUIS, MO 63109-3254
(314) 323-0084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113747
MO
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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