Individual
SARA DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 INDEPENDENCE DR, JEFFERSON CITY, MO 65109-5641
(573) 680-2530
Mailing address
1701 INDEPENDENCE DR, JEFFERSON CITY, MO 65109-5641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006008316
MO
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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