Individual
YUVARANI RADHAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
872 COLLEGE BLVD, OSAGE BEACH, MO 65065-8408
(573) 302-0900
Mailing address
834 JACE DALE CT, JEFFERSON CITY, MO 65109-0351
(573) 645-5299
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
2017038181
MO
261QP2000X
Physical Therapy Clinic/Center
Primary
2018028631
MO
Other
Enumeration date
11/07/2017
Last updated
02/10/2020
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