Individual
MARY HOLTMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17701 EDISON AVE STE 103, CHESTERFIELD, MO 63005-1266
(636) 536-3782
Mailing address
17701 EDISON AVE STE 103, CHESTERFIELD, MO 63005-1266
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2021022040
MO
225100000X
Physical Therapist
Primary
2021033586
MO
Other
Enumeration date
06/17/2021
Last updated
08/20/2021
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