SPENCER MICHAEL BRAGG

CAPE GIRARDEAU, MO
NPI1437869856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2021041872)
Enumeration Date2022-11-28
Last Update Date2022-11-28
Business Address
SPENCER MICHAEL BRAGG
2136 WILLIAM ST STE 115
CAPE GIRARDEAU, MO 63703-5830
Phone number: 573-826-4033
Mailing Address
SPENCER MICHAEL BRAGG
1932 ROCK CREEK LN # 301B
CAPE GIRARDEAU, MO 63701-9253
Phone number: 573-576-3877