Individual
MRS. JOHANNA B DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2937 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2713
(314) 961-3804
(314) 961-1147
Mailing address
13537 BARRETT PARKWAY DR, SUITE 105, BALLWIN, MO 63021-5899
(314) 821-9126
(314) 821-9142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102453
MO
Other
Enumeration date
09/18/2008
Last updated
10/09/2008
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