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Individual

ANITA A SHIKANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, GCS

Contact information

Practice address
3550 S NATIONAL AVE STE 200, SPRINGFIELD, MO 65807-7333
(417) 269-9330
(417) 269-0582
Mailing address
3151 E SOUTHERNVIEW RD, OZARK, MO 65721-6200
(417) 818-4693

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02212
MO
2251G0304X
Geriatric Physical Therapist
02212
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225113640
MEDICAID, MEDICARE, ALL COMMERCIAL INSURANCE
MO
Enumeration date
07/31/2009
Last updated
05/15/2020
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