THERESA KAY ODENTHAL

SAINT LOUIS, MO
NPI1629320833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  116067)
Enumeration Date2012-10-11
Last Update Date2012-10-11
Business Address
MRS. THERESA KAY ODENTHAL LPTA
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-6154
Mailing Address
MRS. THERESA KAY ODENTHAL LPTA
517 S RAPP AVE
COLUMBIA, IL 62236-2432
Phone number: 618-974-9325