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Individual

CYNTHIA LOVELESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
32 DILLON PLAZA DR, HIGH RIDGE, MO 63049-2478
(636) 677-3100
Mailing address
2458 DRIFTWOOD CT, IMPERIAL, MO 63052-4301
(636) 461-0450

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108217
LICENSE #
MO
Enumeration date
08/29/2006
Last updated
07/08/2007
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