Organization
PHYSICAL THERAPY OF JOPLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA JEAN PARKER PT (CLINIC MANAGER/OWNER)
(417) 624-7400
Entity
Organization
Contact information
Practice address
1227 E 32ND ST, SUITE 7, JOPLIN, MO 64804-2811
(417) 624-7400
(417) 624-7403
Mailing address
1227 E 32ND ST, SUITE 7, JOPLIN, MO 64804-2811
(417) 624-7400
(417) 624-7403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114999
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000572905
BCBS ANTHEM
MO
Enumeration date
02/04/2008
Last updated
11/02/2012
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