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1134228059
SCOTT DEREK MATHYS
O FALLON, MO
NPI
1134228059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 112431)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
SCOTT DEREK MATHYS P.T
2011 HIGHWAY K
O FALLON, MO 63366-3965
Phone number: 636-379-5934
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Mailing Address
SCOTT DEREK MATHYS P.T
2011 HIGHWAY K
O FALLON, MO 63366-3965
Phone number: 636-379-5934
Copy
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