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1629320833
THERESA KAY ODENTHAL
SAINT LOUIS, MO
NPI
1629320833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 116067)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
Mrs. THERESA KAY ODENTHAL LPTA
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-6154
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Mailing Address
Mrs. THERESA KAY ODENTHAL LPTA
517 S RAPP AVE
COLUMBIA, IL 62236-2432
Phone number: 618-974-9325
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