Individual
ALICE J TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1210 W ASHLAND ST, NEVADA, MO 64772-1906
(615) 896-6400
Mailing address
RR 1 BOX 152M, MILO, MO 64767-9759
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116091
MO
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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