Individual
RYAN PEZLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 LAWRENCE PL, MEXICO, MO 65265-3422
(573) 581-4452
Mailing address
1701 LAWRENCE PL, MEXICO, MO 65265-3422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2007028410
MO
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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