MARK MATTINGLY

PERRYVILLE, MO
NPI1134249238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  01281)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
-- MARK MATTINGLY
434 N WEST ST
PERRYVILLE, MO 63775-1359
Phone number: 573-547-2530
Mailing Address
-- MARK MATTINGLY
434 N WEST ST
PERRYVILLE, MO 63775-1359
Phone number: 573-547-2530
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