Organization
THE THERAPYSOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KAY COPELAND PT (PT/OWNER)
(573) 437-8011
Entity
Organization
Contact information
Practice address
1212 W HIGHWAY 28, OWENSVILLE, MO 65066-1669
(573) 437-8011
(573) 437-8022
Mailing address
PO BOX 567, OWENSVILLE, MO 65066-0567
(573) 437-8011
(573) 437-8022
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574687307
—
MO
Enumeration date
07/01/2006
Last updated
04/29/2013
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