Individual
MRS. AMY THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2400 VETERANS MEMORIAL DR, CAPE GIRARDEAU, MO 63701-9620
(573) 334-3640
Mailing address
2400 VETERANS MEMORIAL DR, CAPE GIRARDEAU, MO 63701-9620
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116838
MO
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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