Individual
SHARON RAE BRUFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
276 FOUNTAIN LN, KIMBERLING CITY, MO 65686-9356
(417) 739-2481
Mailing address
266 LOSTINWOODS LANE, CAPE FAIR, MO 65624
(417) 331-1641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005029635
MO
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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