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Individual

DENA SERATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
603 SUMMIT STREET, DONIPHAN, MO 63935
(573) 996-3523
Mailing address
615 COUNTY ROAD 355, HARVIELL, MO 63945-9113

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103003
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
103003
MO

Other

Enumeration date
01/31/2007
Last updated
02/24/2020
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