Individual
LISA WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
541 FAIRWAYS CIR, CREVE COEUR, MO 63141-7554
(314) 580-7784
Mailing address
541 FAIRWAYS CIR, CREVE COEUR, MO 63141-7554
(314) 580-7784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006005269
MO
2251P0200X
Pediatric Physical Therapist
2006005269
MO
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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