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Individual

SUSAN DUFFIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8786
Mailing address
419 PINE HOLLOW CT, BALLWIN, MO 63021-6288
(314) 324-3833

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109641
MO

Other

Enumeration date
04/25/2020
Last updated
04/25/2020
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