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Individual

MISS LANA DASILVA ALLEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3431 BRIDGELAND DR, BRIDGETON, MO 63044-2604
(314) 373-2095
(314) 373-2096
Mailing address
4850 LEMAY FERRY RD, SUITE 101, SAINT LOUIS, MO 63129-1576
(314) 416-1707
(314) 416-7184

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111888
MO

Other

Enumeration date
06/11/2006
Last updated
07/08/2007
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