Individual
LAUREN MINDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Mailing address
404 CALEB PL, FENTON, MO 63026-6041
(314) 614-2429
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019027374
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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