Individual
JOAN LAMANILAO OZBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BARRETT DR, MALDEN, MO 63863-1204
(573) 276-3843
Mailing address
206 MADISON ST, APT. E, KENNETT, MO 63857-1735
(870) 897-4603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006001773
MO
Other
Enumeration date
03/03/2008
Last updated
06/03/2009
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