Individual
REBECCA MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 ALLEN AVE, WEBSTER GROVES, MO 63119-2344
(314) 961-3787
Mailing address
9104 VASEL DR, SAINT LOUIS, MO 63123-4516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114911
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
09/16/2007
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