Most Relevant Information
Provider Data
| NPI Number: | 1003383001 |
| Provider Name: | LISA FRAN ROLWES |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2006007771 |
Most Important Dates
| Enumeration Date: | 10/28/2018 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
11630 STUDT AVE STE 200
CREVE COEUR
MO
631417016
Practice Location Phone/Fax
| Phone: | 3147339100 |
| Fax: |
Provider Mailing Location
11630 STUDT AVE STE 200
CREVE COEUR
MO
631417016
Provider Mailing Phone/Fax
| Phone: | 3147339100 |
| Fax: |