Organization
SAHARAH, P.C.
Active
Other names
Brownell Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY CREEDEN BROWNELL P.T. (OWNER/P.T.)
(573) 317-0111
Entity
Organization
Contact information
Practice address
396 W US HIGHWAY 54 STE 103, CAMDENTON, MO 65020-6942
(573) 317-0111
(573) 317-1115
Mailing address
396 W US HIGHWAY 54 STE 103, CAMDENTON, MO 65020-6942
(573) 317-0111
(573) 317-1115
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48547500
—
MO
Enumeration date
09/26/2007
Last updated
05/19/2011
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