Organization
OZARK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE MICHELLE BASS ATC/R (CERTIFIED ATHLETIC TRAINER)
(573) 778-9348
Entity
Organization
Contact information
Practice address
2725 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2346
(573) 778-9348
(573) 686-4870
Mailing address
784 HIGHWAY M, POPLAR BLUFF, MO 63901-6657
(573) 778-9348
(573) 686-4870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
117264
MO
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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