Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2002008853 | MO |
NPI | 1063469898 |
---|---|
Provider Name | Christine M Woerther |
First Address | Saint Louis, MO 63128-1727 |
Second Address | Saint Louis, MO 63128-1727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 18/10/2007 |