Individual
MRS. CYNTHIA JO ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5153
(573) 331-5028
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5153
(573) 331-5028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112537
MO
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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