Individual
MRS. TERTIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT.MS
Contact information
Practice address
HC 69 BOX 2635, IRONTON, MO 63650-9610
(573) 546-3083
(573) 546-3083
Mailing address
HC 69 BOX 2635, IRONTON, MO 63650-9610
(573) 546-3083
(573) 546-3083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102374
MO
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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