Individual
AMANDA ROSE POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5327 ROBERT AVE, SAINT LOUIS, MO 63109-4063
(314) 517-6879
Mailing address
5327 ROBERT AVE, SAINT LOUIS, MO 63109-4063
(314) 517-6879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011025741
MO
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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