Individual
AMY PATRICIA DUNCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
331 HOSPITAL DR, SUITE D, LEBANON, MO 65536-9217
(417) 533-6315
Mailing address
337 TULANE ST, LEBANON, MO 65536-4351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002022527
MO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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