Individual
NICHOLAS HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12349 DEPAUL DR., STE. 110, BRIDGETON, MO 63044
(314) 209-7700
Mailing address
7028 TULANE AVE FL 2, SAINT LOUIS, MO 63130-2337
(309) 635-2744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019030014
MO
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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