Individual
MR. LORENZO ANTONIO AQUINO TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 DAWSON ROAD, NEW MADRID, MO 63869
(573) 748-5622
(573) 748-2412
Mailing address
124 KATE DRIVE, SIKESTON, MO 63801
(573) 258-9545
(573) 748-2412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008036169
MO
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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