Individual
ANNE THEILING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-3656
Mailing address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2005020706
MO
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
03/14/2014
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