Individual
REBECCA ANN STIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
3616 PIONEER DR, IMPERIAL, MO 63052-1198
(636) 287-9498
Mailing address
3616 PIONEER DR, IMPERIAL, MO 63052-1198
(636) 287-9498
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
109767
MO
Other
Enumeration date
04/23/2011
Last updated
04/23/2011
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