Individual
ILENE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 RADFORD DR, SAINT LOUIS, MO 63132-3434
(314) 994-9538
Mailing address
675 RADFORD DR, SAINT LOUIS, MO 63132-3434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103062
MO
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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