Individual
MISS EMMY LOU TAPUYAO VIRTUDAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W 5TH ST STE D, JOPLIN, MO 64801-2575
(417) 782-2917
(417) 782-7038
Mailing address
214 W 5TH ST STE D, JOPLIN, MO 64801-2575
(417) 782-2917
(417) 782-7038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.018717
IL
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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