Individual
ANDREW MINARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S HICKORY ST, MOUNT VERNON, MO 65712-2045
(417) 466-7103
Mailing address
PO BOX 383, WARSAW, MO 65355-0383
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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