Individual
MS. SARA EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
1100 N KENTUCKY AVE, PO BOX 1100, WEST PLAINS, MO 65775-2029
(417) 256-9111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009020442
MO
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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