Individual
ADRIENNE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 DUNN RD, SUITE 108, FLORISSANT, MO 63033-6762
(314) 839-0002
Mailing address
2309 WESGLEN ESTATES DR, MARYLAND HEIGHTS, MO 63043-4125
(314) 434-2719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003015260
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
07/08/2007
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