Individual
ETHEL MAUREEN FRESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CCS
Contact information
Practice address
3437 CAROLINE ST, ROOM 1005, SAINT LOUIS, MO 63104-1111
(314) 977-8535
(314) 977-8513
Mailing address
3437 CAROLINE ST, ROOM 1005, SAINT LOUIS, MO 63104-1111
(314) 977-8535
(314) 977-8513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00623
MO
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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