Individual
TERRIE DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 E 3RD ST, STOVER, MO 65078-0947
(573) 377-4521
Mailing address
1100 CLUB VILLAGE DR STE 103, COLUMBIA, MO 65203-4411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008036900
MO
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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