STEPHEN CORNELISON

COLUMBIA, MO
NPI1194944629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2001015505)
Enumeration Date2007-04-24
Last Update Date2008-05-22
Business Address
-- STEPHEN CORNELISON PTA
1501 TIDEWATER DR
COLUMBIA, MO 65202-6425
Phone number: 573-442-9728
Mailing Address
-- STEPHEN CORNELISON PTA
1501 TIDEWATER DR
COLUMBIA, MO 65202-6425
Phone number: 573-489-2714
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