Most Relevant Information
Provider Data
| NPI Number: | 1003496852 |
| Provider Name: | DARLA J FOTT PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/14/2021 |
| Last Updated: | 04/14/2021 |
Provider Practice Location
5000 MANCHESTER AVE
ST LOUIS
MO
63110
Practice Location Phone/Fax
| Phone: | 3147475800 |
| Fax: | 3147475866 |
Provider Mailing Location
5000 MANCHESTER AVE
ST LOUIS
MO
63110
Provider Mailing Phone/Fax
| Phone: | 3147475800 |
| Fax: | 3147475866 |