Individual
MICHELLE ANNE ARVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
ELITE PHYSICAL THERAPY, 12608 LAMPLIGHTER SQUARE SHOPPING CENTER, ST. LOUIS, MO 63128
(314) 842-4222
Mailing address
823 BARBARA ANN LN, ELLISVILLE, MO 63021-4203
(314) 397-6737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016024995
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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