Individual
THERESA COVERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
134 CHESTERFIELD VALLEY DR, CHESTERFIELD, MO 63005-1161
(636) 812-0094
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016021897
MO
Other
Enumeration date
05/24/2016
Last updated
06/27/2016
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