PAMELA MICHELLE MACON

MARYLAND HEIGHTS, MO
NPI1467597153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: MO  112634)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Mrs. PAMELA MICHELLE MACON MPT
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043-3411
Phone number: 314-872-6440
Mailing Address
Mrs. PAMELA MICHELLE MACON MPT
5 IRENE CT
DES PERES, MO 63131-4141
Phone number: 314-568-7822
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