Individual
STEPHANIE JOYCE WOLTERSTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2 HARBOR BEND CT, LAKE SAINT LOUIS, MO 63367-1478
(636) 695-2070
Mailing address
7705 RAVENSRIDGE RD, SAINT LOUIS, MO 63119-5505
(406) 480-9300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017027027
MO
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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