Individual
MRS. JULIE K NEWCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2588
(314) 344-6000
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2588
(314) 344-6000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117564
MO
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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