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Individual

HANNAH KATHERINE DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
55774, 6 STATE HWY D, EDINA, MO 63537
(660) 397-2282
Mailing address
54463 FOXTROT AVE, KNOX CITY, MO 63446-4036

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015024298
MO

Other

Enumeration date
10/09/2015
Last updated
10/09/2015
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