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Individual

SALLIE FRUITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
315 E DUNKLIN ST, JEFFERSON CITY, MO 65101-3128
(573) 659-3000
Mailing address
315 E DUNKLIN ST, JEFFERSON CITY, MO 65101-3128

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017018711
MO

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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