SAMANTHA WOOLLEDGE

SAINT LOUIS, MO
NPI1720402720
Former NameSAMANTHA BOCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2014004182)
Enumeration Date2014-02-11
Last Update Date2025-02-24
Business Address
SAMANTHA WOOLLEDGE
4020 BUTLER HILL RD
SAINT LOUIS, MO 63129-1500
Phone number: 314-487-6644
Mailing Address
SAMANTHA WOOLLEDGE
14450 S OUTER 40 RD
CHESTERFIELD, MO 63017-5711
Phone number: 314-434-6060
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CUSTOM AQUATIC THERAPY LLC