Individual
JOELLE RUTH PODGORNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT
Contact information
Practice address
763 S. NEW BALLAS RD #200, 200, SAINT LOUIS, MO 63141-8711
(314) 991-2562
(314) 991-2593
Mailing address
763 S. NEW BALLAS RD #200, 200, SAINT LOUIS, MO 63141-8711
(314) 991-2562
(314) 991-2593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105439
MO
Other
Enumeration date
08/28/2008
Last updated
11/15/2012
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