Individual
MRS. MARY RACHELLE OGLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2660 E 32ND ST STE 104, JOPLIN, MO 64804-4361
(417) 540-3564
Mailing address
6630 BLACKBERRY RD, SARCOXIE, MO 64862-8381
(417) 540-3564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005029647
MO
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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