CANDICE VASQUEZ SHAW

ST. LOUIS, MO
NPI1982887725
Former NameCANDICE ANN VASQUEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2007028657)
Enumeration Date2007-12-16
Last Update Date2013-10-31
Business Address
-- CANDICE VASQUEZ SHAW MSPT
107 CONCORD PLAZA
ST. LOUIS, MO 63128-1307
Phone number: 314-842-2990
Mailing Address
-- CANDICE VASQUEZ SHAW MSPT
13537 BARRETT PARKWAY DRIVE SUITE 105
BALLWIN, MO 63021-5896
Phone number: 314-821-9126
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