Individual
JULIET HEREFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7508 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 647-4880
(314) 647-1964
Mailing address
5826 PEBBLE OAK DR, SAINT LOUIS, MO 63128-1412
(314) 845-8622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01347
MO
Other
Enumeration date
10/06/2006
Last updated
10/11/2007
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