Individual
ALYSSA M VINZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
722 N STATE HIGHWAY 47, WARRENTON, MO 63383-1108
(636) 456-8883
Mailing address
722 N STATE HIGHWAY 47, WARRENTON, MO 63383-1108
(636) 456-8883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013028744
MO
Other
Enumeration date
08/08/2013
Last updated
01/04/2018
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