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NPI Code Detail

MEDICARE: DEBORAH HARRE

MEDICARE: DEBORAH HARRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist01753MO

General Provider Information

NPI Number : 1003184649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH HARRE
Provider Business Mailing Address
First Line : 7733 FORSYTH BLVD STE 1700
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63105-1801
Country : US
Telephone Number : 800-677-1238
Fax Number :
Provider Business Practice Location Address
First Line : 13612 BIG BEND RD
Second Line :
City : VALLEY PARK
State : MO
Zip : 63088-1447
Country : US
Telephone Number : 636-923-8693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2011
Last Update Date : 12/10/2011

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Directions to “ DEBORAH HARRE ” Practice Location

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