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Organization
PHYSICAL THERAPY CLINIC OF AVA, P.C.
Active
Organization
PHYSICAL THERAPY CLINIC OF AVA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYLENE S. BAGUIO R.P.T. (SECRETARY / 50 OWNER)
(417) 683-3380
Entity
Organization
Contact information
Practice address
1307 HADEN STREET, AVA, MO 65608-5105
(417) 683-3380
(417) 683-3386
Mailing address
1307 HADEN STREET, AVA, MO 65608-5105
(417) 683-3380
(417) 683-3386
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
R0891
MO
261QP2000X
Physical Therapy Clinic/Center
Primary
R0933
MO
Other
Enumeration date
05/25/2010
Last updated
02/03/2022
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