Individual
COE ALLEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3381 KANELL BLVD, POPLAR BLUFF, MO 63901-3060
(573) 785-0761
(573) 785-0031
Mailing address
3381 KANELL BLVD, POPLAR BLUFF, MO 63901-3060
(573) 785-0761
(573) 785-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018028634
MO
Other
Enumeration date
05/01/2019
Last updated
06/20/2023
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