Individual
REBECCA ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
269 SHADY ROCK LN, O FALLON, MO 63368-7471
(641) 529-2039
Mailing address
269 SHADY ROCK LN, O FALLON, MO 63368-7471
(641) 529-2039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016025310
MO
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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