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Individual

PATRICK MENGWASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 680-5722
(573) 680-5722
Mailing address
3102 BALLARD MILL DR, COLUMBIA, MO 65203-1296
(573) 680-5722

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016020990
MO

Other

Enumeration date
11/13/2017
Last updated
11/13/2017
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