Organization
HEALER S TOUCH REHABILITATION SERVICES, LLC
Active
Other names
Vandalia Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME GERONGCO CANAMA RPT (SOLE MEMBER)
(925) 285-4422
Entity
Organization
Contact information
Practice address
108 S MAIN ST, VANDALIA, MO 63382-1806
(573) 594-2520
Mailing address
407 YALE ST, MEXICO, MO 65265-2340
(573) 582-7129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005040393
MO
Other
Enumeration date
04/24/2009
Last updated
05/21/2009
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