Individual
LISA HOPE JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 S ROCK HILL RD, WEBSTER GROVES, MO 63119-3910
(314) 943-3814
Mailing address
1112 S ROCK HILL RD, WEBSTER GROVES, MO 63119-3910
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2011002798
MO
2251X0800X
Orthopedic Physical Therapist
PT871065
DC
Other
Enumeration date
09/01/2009
Last updated
11/16/2011
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