SearchMissouri225XP0200X

Theresa Dore, MOTR/L

NPI 1760679955 · on the registry since 2007 · sole proprietor

Practice

Address
5041 Waterman Blvd
Apt. 108
Saint Louis, MO 63108
Phone
(630) 624-7942

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri