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 |