Individual
MRS. KATHERINE ANN RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5400 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-2594
(636) 922-7600
Mailing address
3 MACINNIS CT, DARDENNE PRAIRIE, MO 63368-7218
(314) 713-9601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014024587
MO
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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