Individual
MS. SALLY JOANN DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1024 ADAMS ST, JEFFERSON CITY, MO 65101-3408
(573) 635-1320
Mailing address
283 HIGHWAY EE, WESTPHALIA, MO 65085-2016
(314) 724-3350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117328
MO
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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