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Individual

HEATHER DIANE GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2127
(573) 334-1999
Mailing address
2001 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2127

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011024752
MO

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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