Individual
MRS. JENNIFER ANNE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
215 PLEASANT GROVE AVE, BALLWIN, MO 63011-3319
(636) 675-6364
Mailing address
215 PLEASANT GROVE AVE, BALLWIN, MO 63011-3319
(636) 675-6364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02194
MO
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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