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Individual

JENNIFER L DIRNBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, CSCI

Contact information

Practice address
540 E YOUNG AVE, STE E, WARRENSBURG, MO 64093-1231
(660) 262-4795
(660) 747-0347
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 226-4011
(816) 524-6115

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001031551
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33238041
BCBS KC
01
MA4370008
MEDICARE PTAN
MO
Enumeration date
05/28/2006
Last updated
01/21/2014
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