Individual
MRS. KAREN D BOIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5050 SUMMIT AVE, EAST SAINT LOUIS, IL 62203-1026
(618) 874-3597
Mailing address
1930 N CHARLES ST, BELLEVILLE, IL 62221-4028
(618) 277-3865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004162
IL
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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