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Organization
PHYSICAL THERAPY OF WARRENSBURG
Active
Organization
PHYSICAL THERAPY OF WARRENSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F BRUMMEL PT (PRESIDENT)
(660) 747-0247
Entity
Organization
Contact information
Practice address
540 E YOUNG AVE, SUITE E, WARRENSBURG, MO 64093-1231
(660) 747-0247
(660) 747-0347
Mailing address
540 E YOUNG AVE, SUITE E, WARRENSBURG, MO 64093-1231
(660) 747-0247
(660) 747-0347
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
004834
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34248013
BCBS OF KC
MO
Enumeration date
06/30/2009
Last updated
06/30/2009
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