LIBERTY D UNDERWOOD

ADRIAN, MO
NPI1760615389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2009016644)
Enumeration Date2009-08-30
Last Update Date2009-08-30
Business Address
-- LIBERTY D UNDERWOOD PTA
402 W 1ST ST
ADRIAN, MO 64720-9277
Phone number: 816-297-2107
Mailing Address
-- LIBERTY D UNDERWOOD PTA
RR 2 BOX 205
ADRIAN, MO 64720-9408
Phone number: 816-297-8968