Individual
JANICE POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7730 FORSYTH BLVD, CLAYTON, MO 63105-1810
(800) 677-1238
Mailing address
252 LINDENWOOD DR, EAST ALTON, IL 62024-2063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117974
MO
225200000X
Physical Therapy Assistant
160.003068
IL
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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