Individual
MISS NATHALIE GRACE CANETE HUSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
GMMPCPI 214 WEST 5TH ST.,, SUITE D & E, JOPLIN, MO 64801
(417) 782-2917
(417) 782-7038
Mailing address
GMMPCPI 214 WEST 5TH ST.,, SUITE D & E, JOPLIN, MO 64801
(417) 782-2917
(417) 782-7038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017146
IL
Other
Enumeration date
06/30/2009
Last updated
06/06/2021
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