Sandra Lasam, P.T. Valid NPI
Individual provider · Specialist · Hazelwood, MO
- NPI
- 1114231529
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 107653 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-07-28
- Last updated
- 2010-07-28
Practice location
1 Village Sq Ste A
Hazelwood, MO 63042-1817
(314) 731-4555