Individual
THERESA M ESKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9350 GREEN PARK RD, SAINT LOUIS, MO 63123-7211
(618) 977-6704
Mailing address
610 PARK ST, WATERLOO, IL 62298-1856
(618) 977-6704
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008003803
MO
Other
Enumeration date
09/09/2010
Last updated
09/28/2010
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