Individual
LAURA SISUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WATSON RD, SAINT LOUIS, MO 63119-5096
(314) 961-8000
Mailing address
4415 ITASKA ST, SAINT LOUIS, MO 63116-1303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025033440
MO
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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