Individual
HEATHER CORRINE CALBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9645 BIG BEND BLVD, SAINT LOUIS, MO 63122-6521
(314) 968-5460
Mailing address
6979 CREEKVIEW TRL APT 204, SAINT LOUIS, MO 63123-2462
(314) 348-7241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020036131
MO
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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