NPI 1366721490

Angela Nicole Childress, DPT

Practitioner Physical Therapist Lebanon, MO

Practice location

Address: 331 Hospital Dr STE D, Lebanon, MO 65536-9251
Phone: (417) 533-6315
Mailing address: 111 Cedar Crest Dr, Lebanon, MO 65536-3780

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2010028886 (MO)

Other Physical Therapist providers in Missouri →

Registry record

NPI: 1366721490
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2011
Record last updated: 7 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.