Individual
IMEE ATABAY-SECILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925B CAMBRIDGE DR, SIKESTON, MO 63801-5704
(573) 703-7638
Mailing address
925B CAMBRIDGE DR, SIKESTON, MO 63801-5704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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