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1215047188
AUTUMN CORTIVO
SAINT LOUIS, MO
NPI
1215047188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- AUTUMN CORTIVO
1001 S KIRKWOOD RD STE 140
SAINT LOUIS, MO 63122-7250
Phone number: 314-821-5300
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Mailing Address
-- AUTUMN CORTIVO
936 SMITHSHIRE AVE
FERGUSON, MO 63135-1767
Phone number: 314-524-4504
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