Individual
JULIE SURDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
200 SOUTH ST, PARIS, MO 65275-1165
(660) 327-4125
Mailing address
18691 OLD HIGHWAY 63 N, STURGEON, MO 65284-9145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MO1999135163
MO
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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