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Individual

AVA MADELINE LAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
704 E HIGHWAY 72, FREDERICKTOWN, MO 63645-7491
(573) 783-6555
Mailing address
704 E HIGHWAY 72, FREDERICKTOWN, MO 63645-7491
(573) 783-6555

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025015617
MO

Other

Enumeration date
11/13/2025
Last updated
11/19/2025
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