Individual
MARY GUNTER GAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 E DAVIS ST, FAYETTE, MO 65248-1405
(660) 248-3053
(660) 248-2682
Mailing address
3301 BERRYWOOD DR, SUITE 204, COLUMBIA, MO 65201-6517
(573) 449-8771
(573) 449-6563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01935
MO
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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