Individual
STACY HEINSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CHANTILLY CT, LAKE SAINT LOUIS, MO 63367-1630
(636) 262-7821
Mailing address
10 CHANTILLY CT, LAKE SAINT LOUIS, MO 63367-1630
(636) 262-7821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/10/2019
Last updated
03/10/2019
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