Individual
VICTORIA FOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6767 BRINLEY RD, DITTMER, MO 63023-2003
(636) 402-8397
Mailing address
PO BOX 74, DITTMER, MO 63023-0074
(636) 402-8397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200148976
LICENSE#
MO
Enumeration date
06/21/2007
Last updated
06/29/2022
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