Individual
HANNAH NDIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S HUDSON AVE, AURORA, MO 65605-2717
(417) 678-2165
Mailing address
3826 W PARKRIDGE CIR, SPRINGFIELD, MO 65802-6781
(417) 894-6603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006028226
MO
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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