Laura Marie Self, PT

NPI #1447564174 in Fenton, Missouri

Provider Information

NPI Number
1447564174
Entity Type
Individual
Name
Laura Marie Self, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 5, 2010
Last Updated
Aug 5, 2010

Practice Location

Address
1011 BOWLES AVE STE 150
City
Fenton
ZIP Code
63026-2384
Phone
(636) 334-3955

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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