Individual
DANNY DUANE DIMMITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
6390 RIVERBIRCH PL, COLUMBIA, MO 65202-5802
(573) 881-4606
Mailing address
6390 RIVERBIRCH PL, COLUMBIA, MO 65202-5802
(573) 881-4606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005950
IL
225200000X
Physical Therapy Assistant
A-0816
NM
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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