Individual
MRS. MARY L JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
CONSOLIDATED SCHOOL DIST 4, 13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5047
(816) 316-5081
Mailing address
13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5047
(816) 316-5081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0168
MO
Other
Enumeration date
04/27/2007
Last updated
07/09/2007
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