Individual
LAURA LEIGH VAN ESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
100 E VINE ST, MURFREESBORO, TN 37130-3734
(615) 890-2020
Mailing address
4208 W 26TH PL, JOPLIN, MO 64804-7016
(417) 627-9838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001002342
MO
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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