Drew R Dement PTA

NPI 1629227947 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1629227947
Gender Female
Enumeration Date 09/10/2008
Last Updated 09/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
508 N WEST ST
SIKESTON MO, 63801-5444, US
Phone (573) 471-0110
Fax (573) 778-3463
Business Location
508 N WEST ST
SIKESTON MO, 63801-5444, US
Phone (573) 471-0110
Fax (573) 778-3463
Toxanomy
Taxonomy Code 225200000X
License State Missouri
License Number 119750
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According to our database, Drew R Dement PTA NPI is 1629227947, taxonomy code is 225200000X and license number is 119750, license state is located at Missouri. Drew R Dement PTA physically located at 508 N West St, Sikeston MO, 63801-5444. NPI Number Drew R Dement PTA has the Individual type.

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1629227947 NPI number is provided on an as is basis without warranty of any kind. 1629227947 is maintained by the National Plan & Provider Enumeration System. The contents of Drew R Dement PTA are for informational purposes only.