Individual
SHAWN ERLENE PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7451 SE ANDERSON LN, LATHROP, MO 64465-8586
(785) 741-0621
Mailing address
7451 SE ANDERSON LANE, LATHROP, MO 64465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008027451
MO
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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