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Individual

JON PAUL DEWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
RR 2 BOX 2430B, BIRCH TREE, MO 65438-9222
(573) 292-1222
Mailing address
RR 2 BOX 2430B, BIRCH TREE, MO 65438-9222
(573) 292-1222

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008011475
MO

Other

Enumeration date
09/27/2008
Last updated
09/27/2008
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