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Individual

MARY S ELSEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11709 OLD BALLAS ROAD STE 205, AMATO PHYSCIAL THERAPY, ST LOUIS, MO 63141-7076
(314) 991-0483
(314) 991-0487
Mailing address
11709 OLD BALLAS ROAD STE 205, AMATO PHYSCIAL THERAPY, ST LOUIS, MO 63141-7076
(314) 991-0483
(314) 991-0487

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01436
MO

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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