Individual
MRS. JANE DIANNE HUELSKOETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13550 S OUTER 40 RD, TOWN AND COUNTRY, MO 63017-5812
(314) 878-1330
Mailing address
1067 POLO DOWNS DR, TOWN AND COUNTRY, MO 63017-8358
(636) 891-0075
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
00645
MO
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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