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Organization
WILLARD PHYSICAL THERAPY CENTER LLC
Active
Organization
WILLARD PHYSICAL THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALA DANIELLE SHEPPARD PT, DPT, ATC (DR.)
(417) 221-4667
Entity
Organization
Contact information
Practice address
304 E JACKSON ST # 2F, WILLARD, MO 65781-9333
(417) 827-9153
Mailing address
PO BOX 257, WILLARD, MO 65781-0257
(417) 221-4667
(417) 744-9674
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/10/2021
Last updated
01/17/2022
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