Individual
LAURIE SUSAN ALTOBELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9082 FERNALD DR, SAINT LOUIS, MO 63123-2005
(314) 780-6221
Mailing address
9082 FERNALD DR, SAINT LOUIS, MO 63123-2005
(314) 780-6221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109824
MO
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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