Individual
MIA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13230 MANCHESTER RD, SAINT LOUIS, MO 63131-1706
(314) 480-5259
Mailing address
110 N 17TH ST APT 1117, SAINT LOUIS, MO 63103-2479
(803) 317-4808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014024676
MO
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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