Individual
JEAN STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
15945 CLAYTON RD STE 210, BALLWIN, MO 63011-2491
(314) 325-3068
(314) 325-3069
Mailing address
15945 CLAYTON RD STE 210, BALLWIN, MO 63011-2491
(314) 325-3068
(314) 325-3069
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
117926
MO
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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