Individual
MRS. JENNIFER MIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1 CHILDRENS PL, 4S 50, SAINT LOUIS, MO 63110-1002
(314) 454-2604
Mailing address
1 CHILDRENS PL, 4S 50, SAINT LOUIS, MO 63110-1002
(314) 454-2604
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2001017392
MO
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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