THERESA PANKA

SAINT LOUIS, MO
NPI1881000933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2007018017)
Enumeration Date2014-07-09
Last Update Date2014-07-09
Business Address
-- THERESA PANKA ATC
5456 POTOMAC ST
SAINT LOUIS, MO 63139-1547
Phone number: 636-577-7260
Mailing Address
-- THERESA PANKA ATC
5456 POTOMAC ST
SAINT LOUIS, MO 63139-1547
Phone number:
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