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Individual

SHERRI BROEKEMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
404 E 3RD ST, STOVER, MO 65078-0947
(573) 377-4521
Mailing address
1100 CLUB VILLAGE DR, SUITE 103, COLUMBIA, MO 65203-4409

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117112
MO

Other

Enumeration date
11/19/2014
Last updated
11/19/2014
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