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1750930897
DANIELLE ALEXANDRIA AUSTIN
BALLWIN, MO
NPI
1750930897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2019034111)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
DANIELLE ALEXANDRIA AUSTIN PTA
15425 MANCHESTER RD
BALLWIN, MO 63011-3077
Phone number: 636-220-6969
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Mailing Address
DANIELLE ALEXANDRIA AUSTIN PTA
352 MASON RIDGE DR
SAINT CHARLES, MO 63304-7284
Phone number: 636-288-6100
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