Individual
MRS. JACQUELINE DENISE LAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 WASHINGTON AVE UNIT 514, SAINT LOUIS, MO 63102-2149
(314) 229-2794
Mailing address
400 WASHINGTON AVE UNIT 514, SAINT LOUIS, MO 63102-2149
(314) 229-2794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001033139
MO
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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