Individual
ANGELA RUTH STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
6717 ARMISTEAD CT, BARNHART, MO 63012-1166
(314) 609-1520
(636) 942-3262
Mailing address
6717 ARMISTEAD CT, BARNHART, MO 63012-1166
(314) 609-1520
(636) 942-3262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT100016
MO
Other
Enumeration date
01/22/2007
Last updated
07/09/2007
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