Individual
DEANNA LEE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
113 E SIERRA DR, RAYMORE, MO 64083-8534
(816) 462-7479
Mailing address
113 E SIERRA DR, RAYMORE, MO 64083-8534
(816) 462-7479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31405
FL
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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