Individual
AMY WIEZOREK SCHORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1409B MCCAUSLAND AVE, SAINT LOUIS, MO 63117-1936
(937) 689-8524
Mailing address
1409B MCCAUSLAND AVE, SAINT LOUIS, MO 63117-1936
(937) 689-8524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2007021719
MO
Other
Enumeration date
02/08/2007
Last updated
12/05/2008
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