Individual
MARRIETA A HUTTENLOCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2800 S FORT AVE, SPRINGFIELD, MO 65807-3480
(417) 882-0035
Mailing address
3603 W SEXTON ST, SPRINGFIELD, MO 65810-1023
(417) 882-2333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112002
MO
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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