Mary A Miranda
Mary A Miranda is a Physical Therapist in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
1115 Fairgrounds Rd Eldon R-I And Special Learning CtrJefferson City, MO 65109-5443
Phone: (573) 392-8000
Fax: (573) 392-8080
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 2002015973 (MO) |
|---|
Record details
| NPI number | 1427275999 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | February 20, 2009 |
| Mailing address | 1115 Fairgrounds Rd, Jefferson City, MO 65109-5443 |
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