Individual
LISA MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4358C HIGHWAY PP, POPLAR BLUFF, MO 63901
(573) 686-5439
Mailing address
4358C HIGHWAY PP, POPLAR BLUFF, MO 63901
(573) 686-5439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014004336
MO
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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