Individual
MR. JAMES W CORNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1405 N MT. AUBURN RD, CAPE GIRARDEAU, MO 63701-2171
(573) 651-5537
Mailing address
1405 N MT. AUBURN RD, CAPE GIRARDEAU, MO 63701-2171
(314) 623-5732
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016025015
MO
Other
Enumeration date
05/29/2019
Last updated
03/10/2020
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