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Individual

ASHLEY R HOMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
205 PROSPECT AVE, PILOT GROVE, MO 65276-1111
(660) 834-3655
Mailing address
115 4TH ST, PILOT GROVE, MO 65276-1013

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2014039420
MO
225100000X
Physical Therapist
Primary
214039420
MO

Other

Enumeration date
08/17/2015
Last updated
04/20/2016
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