Individual
MRS. LISA MARIE STOECKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6460
Mailing address
700 RUGBY CT, CREVE COEUR, MO 63141-6317
(314) 341-0280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02004
MO
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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