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Individual

MRS. EMILY KATHERINE PASCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6022 S. UNDBERGH BLVD., ST. LOUIS, MO 63123
(314) 845-7751
(314) 845-7752
Mailing address
6022 S. UNDBERGH BLVD., ST. LOUIS, MO 63123
(314) 845-7751
(314) 845-7752

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2005016200
MO
2251P0200X
Pediatric Physical Therapist
2005016200
MO
2251P0200X
Pediatric Physical Therapist
Primary
2016039994
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
487431504
MO
Enumeration date
12/22/2006
Last updated
03/20/2020
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