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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARIE LAURY PHYSICAL THERAPIST

MEDICARE:  MRS. CHRISTINA MARIE LAURY  PHYSICAL THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2001002808MO

General Provider Information

NPI Number : 1992777833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARIE LAURY PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 1 JEFFERSON BARRACKS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4181
Country : US
Telephone Number : 314-359-0440
Fax Number :
Provider Business Practice Location Address
First Line : 1 JEFFERSON BARRACKS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4181
Country : US
Telephone Number : 314-565-4823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2006
Last Update Date : 06/04/2024

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Directions to “ MRS. CHRISTINA MARIE LAURY PHYSICAL THERAPIST” Practice Location

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