MARY ELIZABETH BOOMGARDEN

SAINT LOUIS, MO
NPI1467843094
Former NameMARY ELIZABETH THURNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2014027179)
Enumeration Date2015-02-18
Last Update Date2015-02-18
Business Address
-- MARY ELIZABETH BOOMGARDEN DPT
9645 BIG BEND BOULEVARD
SAINT LOUIS, MO 63122
Phone number: 314-968-5460
Mailing Address
-- MARY ELIZABETH BOOMGARDEN DPT
9645 BIG BEND BOULEVARD
SAINT LOUIS, MO 63122
Phone number: