Individual
SEAN LEONARD MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 N MORLEY ST STE I, MOBERLY, MO 65270-2334
(660) 263-6223
(660) 263-6224
Mailing address
300 N MORLEY ST STE I, MOBERLY, MO 65270-2334
(660) 263-6223
(660) 263-6224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001007512
MO
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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