Individual
JACQULYN A BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1030 EDMONDS ST, JEFFERSON CITY, MO 65109-5213
(615) 896-6400
Mailing address
403 COLLIER ST, MOKANE, MO 65059-1313
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006035374
MO
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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