Individual
MRS. SANDY J VAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12351 US HIGHWAY 61, STE GENEVIEVE, MO 63670-8458
(573) 883-9366
(573) 883-9377
Mailing address
12351 US HIGHWAY 61, STE GENEVIEVE, MO 63670-8458
(573) 883-9366
(573) 883-9377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116417
MO
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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