Individual
MRS. THERESA MARIE COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1400 HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
(636) 931-5776
Mailing address
2461 WIMBLEDON ESTATES DR, FESTUS, MO 63028
(636) 933-1000
(636) 931-5776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0885
CA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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