Individual
SHARON BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16124 E RIPLEY RD, NEVADA, MO 64772-5486
(417) 321-0145
Mailing address
16124 E RIPLEY RD, NEVADA, MO 64772-5486
(417) 321-0145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MO01594
MO
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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