Individual
JACKELYN DAWN SAPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1097 INDIAN GROVE LN, ROGERSVILLE, MO 65742-7669
(417) 766-9819
(417) 753-7120
Mailing address
3966 W GREENWOOD ST, SPRINGFIELD, MO 65807-8163
(417) 838-5649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005029638
MO
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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