# ACCESS PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770824062
- **Authorized official:** TOM RODEGHERO DPT (PRESIDENT, OWNER)
- **Authorized official phone:** (573) 822-5731

## Contact information

- **Practice address:** 3522 PALMYRA RD, SUITE A, HANNIBAL, MO 63401-2212
- **Practice address phone:** (573) 248-8076
- **Practice address fax:** (573) 248-8082
- **Mailing address:** 3522 PALMYRA RD, SUITE A, HANNIBAL, MO 63401-2212
- **Mailing address phone:** (573) 248-8076
- **Mailing address fax:** (573) 248-8082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2006034980 | MO | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2006034980 | MO | — |

## Other

- **Enumeration date:** 03/11/2013
- **Last updated:** 10/02/2014
