Individual
JENNIFER LAURENTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
Mailing address
12484 GLENCLIFF DR, MARYLAND HEIGHTS, MO 63043-3625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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