Individual
MRS. LEANNE NIKOLE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3649 HIGHWAY 54, OSAGE BEACH, MO 65065-8697
(573) 302-4446
Mailing address
3251 BAGNELL DAM BLVD, PMB 275, LAKE OZARK, MO 65049-9745
(573) 302-4446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000152507
MO
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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