Individual
DANIEL BRUCE TORRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 431-0223
Mailing address
206 SANDSTONE CT, FESTUS, MO 63028-5451
(573) 431-0223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1999139204
MO
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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