Individual
PETERPAUL MAYO CHANLIONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
207 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 732-1388
(417) 732-6014
Mailing address
207 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 732-1388
(417) 732-6014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100395
MO
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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