Individual
MS. MARIA CONCEPCION REYES TABBERRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
214 W. 5TH ST., GMM PRO-CARE PROVIDERS, INC., JOPLIN, MO 64801
(417) 782-2917
(417) 782-7038
Mailing address
2001 CONNECTICUT ST., APARTMENT D3, JOPLIN, MO 64804
(417) 782-2917
(417) 782-7038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017498
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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