Individual
ASHLEY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817
(314) 822-6285
Mailing address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012037664
MO
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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