Individual
DEBI ANN DEGRAEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23901 E 267TH ST, HARRISONVILLE, MO 64701-3266
(816) 810-4193
Mailing address
23901 E 267TH ST, HARRISONVILLE, MO 64701-3266
(816) 810-4193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116048
MO
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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