Individual
MRS. ANGELA NICOLE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
331 HOSPITAL DR STE D, LEBANON, MO 65536-9251
(417) 533-6315
Mailing address
111 CEDAR CREST DR, LEBANON, MO 65536-3780
(417) 531-1252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010028886
MO
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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