Individual
JULIE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13303 TESSON FERRY RD, SAINT LOUIS, MO 63128-4062
(314) 849-9494
Mailing address
9 RAINTREE LN, GLEN CARBON, IL 62034-1843
(618) 288-4912
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116095
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
07/08/2007
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