Individual
FOLASHADE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11160 VILLAGE NORTH DR, SAINT LOUIS, MO 63136-6159
(314) 355-8010
Mailing address
165 FOREST PKWY APT H, VALLEY PARK, MO 63088-1050
(314) 651-6156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019030019
MO
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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