Bolivar Physical Therapy Center, Llc

NPI 1366454191 - Physical Therapist - 225100000X

NPI Details
NPI 1366454191
Enumeration Date 08/12/2006
Last Updated 04/09/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM JANSEN WILLIAM
Position OWNER / MEMBER
Phone (417) 777-2888
Fax (417) 777-4597
Practice Location
850 E SAN MARTIN ST
BOLIVAR MO, 65613-2897, US
Phone (417) 777-2888
Fax (417) 777-4597
Business Location
850 E SAN MARTIN ST
BOLIVAR MO, 65613-2897, US
Phone (417) 777-2888
Fax (417) 777-4597
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Bolivar Physical Therapy Center, Llc NPI is 1366454191, taxonomy code is 225100000X Bolivar Physical Therapy Center, Llc physically located at 850 E San Martin St, Bolivar MO, 65613-2897. NPI Number 1033115704 has the healthcare provider type.

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1366454191 NPI number is provided on an as is basis without warranty of any kind. 1366454191 is maintained by the National Plan & Provider Enumeration System. The contents of Bolivar Physical Therapy Center, Llc are for informational purposes only.