Organization
ACCESS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM RODEGHERO DPT (PRESIDENT, OWNER)
(573) 822-5731
Entity
Organization
Contact information
Practice address
3522 PALMYRA RD, SUITE A, HANNIBAL, MO 63401-2212
(573) 248-8076
(573) 248-8082
Mailing address
3522 PALMYRA RD, SUITE A, HANNIBAL, MO 63401-2212
(573) 248-8076
(573) 248-8082
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2006034980
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2006034980
MO
Other
Enumeration date
03/11/2013
Last updated
10/02/2014
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