Individual
MR. ISAAC QUIOCO NERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1514 OLD CAPE RD, APARTMENT C, JACKSON, MO 63755-2334
(573) 382-6364
Mailing address
1514 OLD CAPE RD, APARTMENT C, JACKSON, MO 63755-2334
(573) 382-6364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005037322
MO
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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