Brecke, Tabitha Louise

Brecke, Tabitha Louise is an individual health care provider with primary practice located at 915 N Grand Blvd Rm A103 , Saint Louis MO 63106-1621. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is her primary health care specialty. Brecke, Tabitha Louise can be contacted via phone (314) 289-6588.

Contact Information

Primary practice address
915 N Grand Blvd Rm A103 Saint Louis MO 63106-1621
Phone: (314) 289-6588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind 2255R0406X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1245011618
LBN Legal business name Brecke, Tabitha Louise
Credentials PH.D., CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2023
Last updated Oct 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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