Individual
MIRANDA R SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
444 FOUR STATES DR, SUITE 1, GALENA, KS 66739-4324
(620) 783-4441
(620) 783-4444
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T 02926
KS
Other
Enumeration date
05/18/2011
Last updated
12/30/2011
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