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Organization
CENTRAL PHYSICAL REHABILITATION AND SPORTS MEDICINE, LLC
Active
Organization
CENTRAL PHYSICAL REHABILITATION AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN ROACH (OWNER)
(660) 429-4700
Entity
Organization
Contact information
Practice address
407 E RUSSELL AVE BLDG A, SUITE 6, WARRENSBURG, MO 64093-1242
(660) 429-4700
(660) 429-0500
Mailing address
407 E RUSSELL AVE BLDG A, SUITE 6, WARRENSBURG, MO 64093-1242
(660) 429-4700
(660) 429-0500
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/14/2007
Last updated
09/09/2011
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