VICTORIA CARMACK

OSAGE BEACH, MO
NPI1831503317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2011039290)
Enumeration Date2014-06-12
Last Update Date2014-06-12
Business Address
-- VICTORIA CARMACK PTA
5816 OSAGE BEACH PKWY SUITE 102
OSAGE BEACH, MO 65065-3046
Phone number: 573-348-4004
Mailing Address
-- VICTORIA CARMACK PTA
PO BOX 1776
OSAGE BEACH, MO 65065-1776
Phone number:
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