ANTONIO MAURICIO

POPLAR BLUFF, MO
NPI1992279830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  R1007)
Enumeration Date2019-01-14
Last Update Date2021-03-30
Business Address
ANTONIO MAURICIO PT
3999 HIGHWAY PP
POPLAR BLUFF, MO 63901-9046
Phone number: 573-712-2280
Mailing Address
ANTONIO MAURICIO PT
PO BOX 3
POPLAR BLUFF, MO 63902-0003
Phone number: 573-712-2280