Individual
JON LEE CLAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
801 BRIM ST, DESLODGE, MO 63601
(573) 431-0223
Mailing address
307 VIRGINIA ST, FREDERICKTOWN, MO 63645
(573) 631-7106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006028632
MO
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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