MIKE INOCENCIO

CANTON, MO
NPI1457457418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-011419)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
-- MIKE INOCENCIO P.T.
1100 E OUTER RD S STE 1
CANTON, MO 63435-1701
Phone number: 573-288-3311
Mailing Address
-- MIKE INOCENCIO P.T.
1100 E OUTER RD S STE 1 PO BOX 244
CANTON, MO 63435-1701
Phone number: 573-288-3311
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