Individual
SARA ROZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 BLACK BEAR DR, SPARTA, MO 65753-9237
(417) 880-6211
Mailing address
500 BLACK BEAR DR, SPARTA, MO 65753-9237
(417) 880-6211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001032803
MO
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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