Individual
MS. REBECCA DECLERK FORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7733 FORSYTH BLVD STE 2300, SAINT LOUIS, MO 63105-1806
(800) 677-1238
(314) 863-0769
Mailing address
708 PENNY CT, BALLWIN, MO 63011-2801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009023136
MO
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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