Individual
MISS ANGELES FERNANDEZ MOJICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Mailing address
102 KENNEDY DR APT 4, SIKESTON, MO 63801-5153
(417) 499-9132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005036207
MO
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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