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Individual

MARIKAY LOU ASBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT/ATC

Contact information

Practice address
906 N CEDAR ST, ROLLA, MO 65401-3350
(573) 338-0999
(573) 368-2777
Mailing address
906 N CEDAR ST, ROLLA, MO 65401-3350
(573) 338-0999
(573) 368-2777

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT109661
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
484018700
MO
Enumeration date
05/09/2006
Last updated
08/01/2013
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