Individual
MYCHELLE LUANN MCGLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
331 HOSPITAL DR STE D, LEBANON, MO 65536-9251
(417) 533-6315
Mailing address
517 RACCOON LN, MARSHFIELD, MO 65706-9154
(417) 759-1774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006024405
MO
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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