Individual
MS. CAROLYN M.B. LIVERGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1428 W MEYER RD, WENTZVILLE, MO 63385-3499
(636) 327-3333
(636) 327-6383
Mailing address
1428 W MEYER RD, WENTZVILLE, MO 63385-3499
(636) 327-3333
(636) 327-6383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0981
MO
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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