RICHARD PESTILLOS

POPLAR BLUFF, MO
NPI1104095546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2006001596)
Enumeration Date2008-02-28
Last Update Date2008-02-28
Business Address
RICHARD PESTILLOS PT
3001 MAY ST MARK TWAIN CARING CENTER
POPLAR BLUFF, MO 63901-1942
Phone number: 573-778-0854
Mailing Address
RICHARD PESTILLOS PT
214 W 5TH ST STE. D&E
JOPLIN, MO 64801-2501
Phone number: 417-782-2917