Provider First Line Business Practice Location Address:
800 HOSPITAL DR.
Provider Second Line Business Practice Location Address:
PM&R - PT
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65201-5275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-843-1855
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2011