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1891908612
MID MISSOURI PHYSICAL THERAPY
MACON, MO
NPI
1891908612
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Entity Type
Organization
Authorized Contact
PAUL VINCENT LANE
CEO
660-385-6540
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 02103)
Enumeration Date
2007-05-08
Last Update Date
2009-07-17
Business Address
MID MISSOURI PHYSICAL THERAPY
2005 N. MISSOURI ST. SUITE D
MACON, MO 63552-0381
Phone number: 660-385-6540
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Mailing Address
MID MISSOURI PHYSICAL THERAPY
PO BOX 381
MACON, MO 63552-0381
Phone number: 660-385-6540
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