JERIMY OBERGOENNER

CAPE GIRARDEAU, MO
NPI1396158572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2014002160)
Enumeration Date2014-06-05
Last Update Date2014-06-05
Business Address
-- JERIMY OBERGOENNER PTA
3047 WILLIAM ST SUITE 100
CAPE GIRARDEAU, MO 63703-6393
Phone number: 573-339-5989
Mailing Address
-- JERIMY OBERGOENNER PTA
2825 OLD TOLL RD
JACKSON, MO 63755-3023
Phone number:
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