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Mary Elizabeth Boomgarden, DPT
NPI 1467843094 · on the registry since 2015 · sole proprietor
Practice
- Address
- 9645 Big Bend Boulevard
Saint Louis, MO 63122 - Phone
- (314) 968-5460
- Organisation at this address
- Bethesda Long Term Care, Inc
Bethesda Long Term Care, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri