Individual
DARLA DENISE ENZBRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1202 HEARTLAND RD, SAINT JOSEPH, MO 64506-3492
(816) 671-8506
Mailing address
1711 SANTA FE TER, ATCHISON, KS 66002-2104
(913) 370-3793
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116287
MO
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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