Organization
OZARK PHYSICAL THERAPY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN R TINSLEY IV (OWNER)
(573) 686-4209
Entity
Organization
Contact information
Practice address
2725 N WESTWOOD BLVD, SUITE 17, POPLAR BLUFF, MO 63901-2346
(573) 686-5510
(573) 686-6846
Mailing address
2725 N WESTWOOD BLVD, SUITE 17, POPLAR BLUFF, MO 63901-2346
(573) 686-5510
(573) 686-6846
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626235204
—
MO
Enumeration date
06/26/2008
Last updated
01/28/2014
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