Individual
LAURIE STEENBERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5621
Mailing address
6921 LIBERTY RD, JEFFERSON CITY, MO 65101-8682
(573) 635-9157
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
116056
MO
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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