MARYJANE AMAD

BALLWIN, MO
NPI1871791921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  116501)
Enumeration Date2007-07-10
Last Update Date2007-07-10
Business Address
Mrs. MARYJANE AMAD PTA
312 SOLLEY DR
BALLWIN, MO 63021-5248
Phone number: 636-391-0666
Mailing Address
Mrs. MARYJANE AMAD PTA
7112 CADDIE WAY LN
SAINT LOUIS, MO 63129-5266
Phone number: 314-846-0200