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Individual

LISE DALY GARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
12266 DEPAUL DRIVE, SUITE 115, BRIDGETON, MO 63044
(314) 209-7700
(314) 209-7705
Mailing address
954 BARCROFT WOODS CT, MANCHESTER, MO 63021-6912
(314) 838-9968

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003010144
MO

Other

Enumeration date
08/30/2006
Last updated
08/30/2010
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