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Individual

LORI L GASKELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
12430 TESSON FERRY RD STE 352, SAINT LOUIS, MO 63128-2702
(866) 495-5437
(866) 495-2445
Mailing address
8715 SILVER RD, OTTERVILLE, MO 65348-2205
(660) 366-4623
(866) 495-2445

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
108122
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
487504706
MO
Enumeration date
02/22/2007
Last updated
02/11/2015
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