Individual
CONSTANCE MAYER PERRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
10000 WATSON RD, SUITE 2L12, SAINT LOUIS, MO 63126-1854
(314) 821-9776
Mailing address
10000 WATSON RD, SUITE 2L12, SAINT LOUIS, MO 63126-1854
(314) 821-9776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2001021327
MO
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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