Individual
LAURA GRACE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 NW VESPER ST, BLUE SPRINGS, MO 64014-2745
(877) 787-3430
Mailing address
506 UPLAND CREEK RD, COLUMBIA, MO 65201-6773
(573) 324-7061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019039637
MO
Other
Enumeration date
01/08/2020
Last updated
10/29/2024
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