Individual
DEREK CURTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1600 S HICKORY ST, MOUNT VERNON, MO 65712-2045
(417) 466-7103
(417) 466-4040
Mailing address
1600 S HICKORY ST, MOUNT VERNON, MO 65712-2045
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
2013025663
MO
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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