Individual
GENIVEB ARIOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8660 GRANT RD, SAINT LOUIS, MO 63123-1044
(314) 625-7596
Mailing address
601 BROADMOOR DR APT F, CHESTERFIELD, MO 63017-3154
(312) 852-5398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021032375
MO
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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