Individual
REBECCA AMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2705 DOUGHERTY FERRY RD STE 104, SAINT LOUIS, MO 63122-3372
(314) 394-3319
Mailing address
2705 DOUGHERTY FERRY RD STE 104, SAINT LOUIS, MO 63122-3372
(314) 394-3319
(314) 394-3320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018028529
MO
2255A2300X
Athletic Trainer
2014030412
MO
Other
Enumeration date
09/16/2020
Last updated
09/26/2022
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