Individual
QUENNIE SUNGCAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 760-8450
Mailing address
501 ADAMS ST, PARK HILLS, MO 63601-2207
(573) 953-3460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011013295
MO
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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