Organization
HAVEN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RAY MPT (OWNER)
(417) 581-1234
Entity
Organization
Contact information
Practice address
850 N 25TH ST, OZARK, MO 65721-8033
(417) 581-1234
(888) 550-3518
Mailing address
850 N 25TH ST, OZARK, MO 65721-8033
(417) 581-1234
(888) 844-7031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000150904
MO
Other
Enumeration date
02/04/2011
Last updated
07/21/2022
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