Individual
MS. MANDY JEAN FORRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3302 N WOODBINE RD, SAINT JOSEPH, MO 64505-9323
(724) 392-4731
Mailing address
2905 GENE FIELD RD, SAINT JOSEPH, MO 64506-1913
(816) 385-3744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005026630
MO
Other
Enumeration date
05/02/2007
Last updated
01/30/2017
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