BARRY DWAYNE WHITESIDE

FORT LEONARD WOOD, MO
NPI1073556973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  2789)
Enumeration Date2006-06-14
Last Update Date2007-07-08
Business Address
-- BARRY DWAYNE WHITESIDE PT
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
Mailing Address
-- BARRY DWAYNE WHITESIDE PT
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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