Individual
DR. LAURA K WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1167 KONERT VALLEY DR, FENTON, MO 63026-7171
(573) 291-3858
Mailing address
1167 KONERT VALLEY DR, FENTON, MO 63026-7171
(573) 291-3858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018715
IL
Other
Enumeration date
09/20/2011
Last updated
12/22/2020
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