Individual
TERESA ANN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
715 THUNDER GULCH DR, RAYMORE, MO 64083-8566
(816) 318-1034
Mailing address
715 THUNDER GULCH DR, RAYMORE, MO 64083-8566
(816) 318-1034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1999135036
MO
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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