Individual
LAURA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(314) 713-1791
Mailing address
7 HUNTLEIGH MANOR LN, SAINT LOUIS, MO 63131-4806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117255
MO
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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