Individual
HARNISH NDEGE AYORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7452 GANNON AVE, UNIVERSITY CITY, MO 63130-2916
(520) 483-8173
Mailing address
7452 GANNON AVE, UNIVERSITY CITY, MO 63130-2916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20190124480
MO
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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