Organization
SUNLAKES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHAPMAN (COMPANY OWNER)
(800) 385-3978
Entity
Organization
Contact information
Practice address
1600 S HICKORY ST, MOUNT VERNON, MO 65712-2045
(417) 466-7103
Mailing address
PO BOX 383, WARSAW, MO 65355-0383
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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