Individual
VICKI LEE MCQUILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29700 E MAJOR RD, GRAIN VALLEY, MO 64029-9020
(816) 847-5683
Mailing address
29700 E MAJOR RD, GRAIN VALLEY, MO 64029-9020
(816) 847-5683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01192
MO
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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