Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 0085 | MO |
NPI | 1407072531 |
---|---|
Provider Name | Mrs. Anita H Frumson |
First Address | Saint Louis, MO 63141-8153 |
Second Address | Saint Louis, MO 63125-2378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |