Individual
MRS. SARA L KUANFUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T, LMT
Contact information
Practice address
128 ENCHANTED PKWY, SUITE 201, BALLWIN, MO 63021-5497
(314) 881-8590
Mailing address
128 ENCHANTED PKWY, SUITE 201, BALLWIN, MO 63021-5497
(314) 881-8590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0835
MO
225700000X
Massage Therapist
2013003489
MO
Other
Enumeration date
06/08/2006
Last updated
09/19/2013
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