Individual
MRS. MEGAN REBECCA ANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 CONCORD PLAZA, ST LOUIS, MO 63128
(314) 842-2990
(314) 842-5162
Mailing address
9735 TWINCREST, CRESTWOOD, MO 63126
(314) 962-0189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001009054
MO
Other
Enumeration date
09/26/2006
Last updated
10/27/2015
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