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Individual

ANITA SHAWKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DRIVE, SUITE 201, ST. LOUIS, MO 63146
(314) 439-1949
Mailing address
11960 WESTLINE INDUSTRIAL DR STE 201, SAINT LOUIS, MO 63146-3209

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009006853
MO

Other

Enumeration date
08/07/2017
Last updated
08/07/2017
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