Individual
MARY BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 CLUB VILLAGE DR, SUITE 103, COLUMBIA, MO 65203-4409
(877) 870-4976
Mailing address
1100 CLUB VILLAGE DR, SUITE 103, COLUMBIA, MO 65203-4409
(877) 870-4976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012039739
MO
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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