Individual
MRS. THERESA MICHELLE HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
250 NEW FLORISSANT RD SOUTH, FLORISSANT, MO 63031
(314) 830-7950
Mailing address
1127 OLIVE LAKE DR APT. D, ST. LOUIS, MO 63132
(314) 471-9780
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006001181
MO
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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