Individual
MRS. MARY ELIZABETH OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443
(573) 634-3070
(573) 636-3247
Mailing address
311 DEERFIELD PL, JEFFERSON CITY, MO 65109-4981
(573) 635-3445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01251
MO
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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