HEATHER DIANE GAINES

CAPE GIRARDEAU, MO
NPI1457024127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2011024752)
Enumeration Date2021-07-28
Last Update Date2021-07-28
Business Address
HEATHER DIANE GAINES PTA
2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701-2127
Phone number: 573-334-1999
Mailing Address
HEATHER DIANE GAINES PTA
2001 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701-2127
Phone number: