Organization
SUN LAKES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARABELLA WOODS (EXECUTIVE OPERATIONS)
(417) 719-0699
Entity
Organization
Contact information
Practice address
1 VETERANS WAY, MEXICO, MO 65265-3379
(573) 581-1088
Mailing address
PO BOX 383, 204 SEMINARY STREET, WARSAW, MO 65355-0383
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2011035212
MO
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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