Individual
MRS. DIANA ANNETTE AUBUCHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7733 FORSYTH BLVD, SUITE 2300, CLAYTON, MO 63105-1817
(800) 482-3001
Mailing address
2842 DARDENNE LINKS DR, DARDENNE PRAIRIE, MO 63368-9741
(636) 544-3212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115653
MO
314000000X
Skilled Nursing Facility
115653
MO
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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