Individual
KAPRA D FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 CLUB VILLAGE DR STE 103, COLUMBIA, MO 65203-4411
(573) 256-2777
Mailing address
21500 OLD FIVE RD, VERSAILLES, MO 65084-5754
(308) 325-7056
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013008007
MO
225200000X
Physical Therapy Assistant
2306602991
VA
225200000X
Physical Therapy Assistant
7777235-2402
UT
Other
Enumeration date
12/28/2010
Last updated
11/18/2014
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