Individual
TAMERA NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP, COA
Contact information
Practice address
5248 DARKMOOR LN, IMPERIAL, MO 63052-3036
(314) 560-4060
Mailing address
5248 DARKMOOR LN, IMPERIAL, MO 63052-3036
(314) 560-4060
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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