MARY SUSAN PERNELL

COLUMBIA, MO
NPI1861743817
Former NameMARY SUSAN PECK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  116138)
Enumeration Date2012-09-29
Last Update Date2012-09-29
Business Address
-- MARY SUSAN PERNELL LPTA
2011 CORONA RD STE 301
COLUMBIA, MO 65203-2548
Phone number: 314-543-3861
Mailing Address
-- MARY SUSAN PERNELL LPTA
411 ROBERT AVE
FERGUSON, MO 63135-3526
Phone number: 314-524-6191
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