Individual
ALFONSO L AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
11709 OLD BALLAS RD, SUITE 205, SAINT LOUIS, MO 63141-7029
(314) 991-0480
(314) 991-0487
Mailing address
132 AMBLESIDE LN, SAINT LOUIS, MO 63141-7437
(314) 878-3970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12
MO
Other
Enumeration date
01/30/2007
Last updated
12/31/2007
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