Individual
IRINA NICOLE GOTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1219 S MAIN ST, PALMYRA, MO 63461-1943
(573) 769-6166
(573) 769-2356
Mailing address
PO BOX 208, PALMYRA, MO 63461-0208
(573) 769-6166
(573) 769-2356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024025363
MO
Other
Enumeration date
06/28/2024
Last updated
11/11/2025
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