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Individual

AMY HALLQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5506 CORPORATE DR, SUITE 1800, SAINT JOSEPH, MO 64507-7752
(816) 232-9420
Mailing address
2923 MONTEREY ST, SAINT JOSEPH, MO 64507-1836
(816) 676-0864

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117493
LICENSE #
MO
Enumeration date
08/30/2006
Last updated
07/08/2007
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