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Individual

KRISTINA SWALLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Mailing address
4290 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2301
(636) 671-3382

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
2011030847
MO
225200000X
Physical Therapy Assistant
Primary
2011030847
MO

Other

Enumeration date
05/21/2015
Last updated
12/18/2023
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