Individual
DANIEL BROCKGREITENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-4000
Mailing address
200 ESTATES DR, TROY, MO 63379-1931
(417) 631-2362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014026912
MO
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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