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Individual

FIONA PADRUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
12626 LAMPLIGHTER SQUARE SHOPPING CENTER, ST. LOUIS, MO 63128
(314) 842-4222
Mailing address
1258 RAPTOR LN, FORSYTH, IL 62535-9678
(217) 358-5759

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024034824
MO
2251X0800X
Orthopedic Physical Therapist
2024034824
MO

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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