Individual
MRS. DEBRA Y TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1349 S FARM ROAD 199, SPRINGFIELD, MO 65809-3346
(417) 887-0222
(417) 887-1916
Mailing address
1349 S FARM ROAD 199, SPRINGFIELD, MO 65809-3346
(417) 830-4040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00776
MO
Other
Enumeration date
12/15/2006
Last updated
02/18/2015
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