Individual
EARL DAVIS NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5621 INDIAN TRCE, OSAGE BEACH, MO 65065-3412
(573) 225-1791
Mailing address
5621 INDIAN TRCE, OSAGE BEACH, MO 65065-3412
(573) 225-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005019642
MO
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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