Individual
BETH M PACOCHA AUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
525 LINCOLN HWY, SUITE 28, FAIRVIEW HEIGHTS, IL 62208-2142
(618) 622-5180
(618) 622-5169
Mailing address
1377 MOTOR PKWY, STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014335
IL
225100000X
Physical Therapist
2006033635
MO
Other
Enumeration date
03/02/2007
Last updated
02/20/2020
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