TRACY PHENIX

ROLLA, MO
NPI1831230614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  109155)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Mrs. TRACY PHENIX
500 FORUM DR A
ROLLA, MO 65401-4602
Phone number: 573-458-0100
Mailing Address
Mrs. TRACY PHENIX
500 FORUM DR A
ROLLA, MO 65401-4602
Phone number: 573-458-0100