Individual
DEBORAH HARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13612 BIG BEND RD, VALLEY PARK, MO 63088-1447
(636) 923-8693
Mailing address
7733 FORSYTH BLVD STE 1700, SAINT LOUIS, MO 63105-1801
(800) 677-1238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01753
MO
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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