Individual
EMILY TIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1391 SMIZER MILL RD, FENTON, MO 63026-7306
(636) 529-8000
(636) 529-8003
Mailing address
14450 S OUTER 40 RD, CHESTERFIELD, MO 63017-5711
(314) 434-6060
(314) 434-6066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
02/11/2014
Last updated
01/11/2018
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