CARSON BLAINE FONNER

SAINT LOUIS, MO
NPI1649978263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2025017923)
Enumeration Date2023-02-22
Last Update Date2025-06-20
Business Address
Ms. CARSON BLAINE FONNER DPT
4240 DUNCAN AVE DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS, MO 63110-1101
Phone number: 314-286-1940
Mailing Address
Ms. CARSON BLAINE FONNER DPT
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-286-1940
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