Doctor Name: | MRS. JOAN ANN PUGLISI |
NPI Number: | 1396883831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, PCS |
License Number: | 00075 |
Business Practice Address: | 234 Roseacre Ln Webster Groves, MO - 631194042 |
Business Phone Number: | 3149612873 |
Business Fax Number: | 3144542818 |
Mailing Address: | 234 Roseacre Ln, WEBSTER GROVES |
State: | MO |
Postal Code: | 631194042 |
Phone Number: | 3149612873 |
Fax Number: | 3144542818 |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | 00075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |