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Individual

TABITHA KILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3534 E SUNSHINE ST STE G, SPRINGFIELD, MO 65809-2815
(417) 731-7094
Mailing address
3534 E SUNSHINE ST STE G, SPRINGFIELD, MO 65809-2815
(417) 731-7094

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016027661
MO

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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