Individual
JOHN TOLLENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1480 8TH STREEET, WEST PLAINS, MO 65775
(417) 256-5669
Mailing address
404 BOBWHITE LN., WEST PLAINS, MO 65775
(417) 256-5669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3844
AR
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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