Individual
HOLLY ETTA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5000 MANCHESTER AVE, ST. LOUIS, MO 63110
(314) 747-5800
(314) 747-5866
Mailing address
5000 MANCHESTER AVE, ST. LOUIS, MO 63110
(314) 747-5800
(314) 747-5866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01747
MO
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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