ANGELA NICOLE CHILDRESS

LEBANON, MO
NPI1366721490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2010028886)
Enumeration Date2011-08-07
Last Update Date2011-08-07
Business Address
Mrs. ANGELA NICOLE CHILDRESS DPT
331 HOSPITAL DR STE D
LEBANON, MO 65536-9251
Phone number: 417-533-6315
Mailing Address
Mrs. ANGELA NICOLE CHILDRESS DPT
111 CEDAR CREST DR
LEBANON, MO 65536-3780
Phone number: 417-531-1252
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