Individual
CARMEN ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 CLUB VILLAGE DR STE 103, COLUMBIA, MO 65203-4411
(573) 256-2777
Mailing address
12700 S CLINKENBEARD RD, ASHLAND, MO 65010-9713
(573) 657-4507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00507
MO
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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