Individual
MATTHEW STANDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 N 20TH ST, OZARK, MO 65721-9155
(417) 731-7094
Mailing address
850 N 25TH ST, OZARK, MO 65721-8033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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