WILLIAM BLAKE STUART

HARRISONVILLE, MO
NPI1124422456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2014035795)
Enumeration Date2014-10-15
Last Update Date2014-10-15
Business Address
-- WILLIAM BLAKE STUART PTA
3001 E ELM ST
HARRISONVILLE, MO 64701-1196
Phone number: 816-380-6525
Mailing Address
-- WILLIAM BLAKE STUART PTA
11418 E 16TH ST S
INDEPENDENCE, MO 64052-3920
Phone number: 660-591-2728
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