NPI 1386273266

Elizabeth Ann Pack, PTA

Practitioner Physical Therapy Assistant Desloge, MO

Practice location

Address: 801 Brim St, Desloge, MO 63601-3441
Phone: (573) 431-0223

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 115667 (MO)

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Registry record

NPI: 1386273266
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2020
Record last updated: 3 Apr 2020

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.