Individual
CORY BRENDON CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1602 E REPUBLIC RD, SPRINGFIELD, MO 65804-6509
(417) 766-6037
(417) 865-4860
Mailing address
2733 E BATTLEFIELD ST, #205, SPRINGFIELD, MO 65804-3981
(417) 766-6037
(417) 865-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001016929
MO
Other
Enumeration date
07/31/2008
Last updated
10/26/2012
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