Individual
JAMES MATTHEW AUBUSCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1302 W SUNSET ST, SPRINGFIELD, MO 65807-5943
(417) 238-0415
Mailing address
1302 W SUNSET ST, SPRINGFIELD, MO 65807-5943
(417) 238-0415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2024027929
MO
Other
Enumeration date
06/25/2024
Last updated
07/12/2024
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