Individual
MR. ROBERT EUGENE MCDOUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
22865 COUNTYLINE RD, SHELL KNOB, MO 65747-7503
(417) 858-2421
Mailing address
22865 COUNTYLINE RD, SHELL KNOB, MO 65747-7503
(417) 858-2421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116059
MO
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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