Doctor Name: | BETH M PACOCHA AUER |
NPI Number: | 1366570947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MPT |
License Number: | 2006033635 |
Business Practice Address: | 525 Lincoln Hwy Suite 28 Fairview Heights, IL - 622082142 |
Business Phone Number: | 6186225180 |
Business Fax Number: | 6186225169 |
Mailing Address: | 2644 January Ave, SAINT LOUIS |
State: | MO |
Postal Code: | 631391685 |
Phone Number: | 6302720072 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2006033635 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |