Individual
EMILY ROSE PROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BOWLES AVE STE 150, FENTON, MO 63026-2384
(636) 343-9555
Mailing address
108 MEADOWBROOK DR, PERRYVILLE, MO 63775-4214
(573) 846-7626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024022757
MO
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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