| NPI | 1588848618 |
|---|---|
| Doing Business As | POPLAR BLUFF REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | KYLEE ELLSWORTH Office Manager 573-712-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2015-07-17 |