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Individual

MICHELLE ZGAYNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
22 COUNTY ROAD 445, POPLAR BLUFF, MO 63901-1530
(573) 718-2279
(573) 785-3966
Mailing address
22 COUNTY ROAD 445, POPLAR BLUFF, MO 63901-1530
(573) 718-2279
(573) 785-3966

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108147
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
483946984
MO
Enumeration date
04/19/2006
Last updated
05/07/2020
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