MICAH BOLANDER

SAINT LOUIS, MO
NPI1750597779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2006038245)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
-- MICAH BOLANDER MPT
3520 CHOUTEAU AVE
SAINT LOUIS, MO 63103-2916
Phone number: 314-771-2100
Mailing Address
-- MICAH BOLANDER MPT
849 LONGACRE APT. B
SAINT LOUIS, MO 63132-4737
Phone number:
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