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1003454562
STEPHANIE HENNINGSEN
CHESTERFIELD, MO
NPI
1003454562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2013033760)
Enumeration Date
2019-12-16
Last Update Date
2019-12-19
Business Address
STEPHANIE HENNINGSEN
307 S WOODS RD
CHESTERFIELD, MO 63017
Phone number: 314-576-5545
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Mailing Address
STEPHANIE HENNINGSEN
307 S WOODS MILL RD
CHESTERFIELD, MO 63017-3418
Phone number:
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