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1790702298
STACY LYNNE TYLKA
SAINT LOUIS, MO
NPI
1790702298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2002005865)
Enumeration Date
2006-07-17
Last Update Date
2024-04-25
Business Address
Ms. STACY LYNNE TYLKA DPT
4444 FOREST PARK AVE STE 1210
SAINT LOUIS, MO 63108-2212
Phone number: 314-286-1940
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Mailing Address
Ms. STACY LYNNE TYLKA DPT
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-286-1940
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