Individual
DEBRA L TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11628 OLD BALLAS RD, SAINT LOUIS, MO 63141-7030
(314) 996-3500
(314) 996-3501
Mailing address
11628 OLD BALLAS RD, SAINT LOUIS, MO 63141-7030
(314) 996-3500
(314) 996-3501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115705
MO
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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