Individual
KEVIN SANGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2812 KATIE LN, JOPLIN, MO 64801-8320
(417) 434-0626
Mailing address
2812 KATIE LN, JOPLIN, MO 64801-8320
(417) 437-0626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011041479
MO
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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