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1447454350
LISA MAISCH BRENNAN
SAINT LOUIS, MO
NPI
1447454350
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Former Name
LISA ANN MAISCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 117973)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- LISA MAISCH BRENNAN pta
3520 CHOUTEAU AVE
SAINT LOUIS, MO 63103-2916
Phone number: 314-771-2100
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Mailing Address
-- LISA MAISCH BRENNAN pta
805 WALNUT DR
COLUMBIA, IL 62236-2055
Phone number: 618-281-6538
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