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Theresa Panka, ATC
NPI 1881000933 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5456 Potomac St
Saint Louis, MO 63139 - Phone
- (636) 577-7260
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-09
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