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Individual

CAMILLE ULRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6700 ANTIOCH RD, SUITE 120, MERRIAM, KS 66204-1497
(888) 652-9225
Mailing address
42 CHASTITY CT, LAKE SAINT LOUIS, MO 63367-7355
(636) 448-0464

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2014041498
MO
225200000X
Physical Therapy Assistant
Primary
KS14-02633
KS

Other

Enumeration date
02/24/2015
Last updated
04/29/2024
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