Individual
ANGELA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 SOUTH MAIN ST, LAURIE, MO 65038
(573) 374-7579
Mailing address
724 DUCKHEAD RD, LAKE OZARK, MO 65049-5806
(573) 480-0885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006034483
MO
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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