Individual
MS. DAWN M. ANDERSON-RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 S MADISON ST, STE F, WEBB CITY, MO 64870-2566
(417) 673-0600
(417) 673-0601
Mailing address
5881 COUNTY LANE 277, CARL JUNCTION, MO 64834-8205
(417) 623-1082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003003706
MO
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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