Individual
TERRY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11426 GRAVOIS RD, SAINT LOUIS, MO 63126-3656
(314) 369-0594
Mailing address
9139 RUSTICWOOD TRL, SAINT LOUIS, MO 63126-2213
(314) 369-0594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01099
MO
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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