Individual
TINA JOHNI BADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3652 KATHLEEN ANN DR, SAINT LOUIS, MO 63129-1522
(636) 248-8183
Mailing address
3652 KATHLEEN ANN DR, SAINT LOUIS, MO 63129-1522
(636) 248-8183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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