Organization
OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TINSLEY (OWNER)
(573) 686-5510
Entity
Organization
Contact information
Practice address
2725 N WESTWOOD BLVD STE 17, POPLAR BLUFF, MO 63901-2367
(573) 778-9348
Mailing address
2725 N WESTWOOD BLVD STE 17, POPLAR BLUFF, MO 63901-2367
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
11/13/2017
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