Princeton Physical Therapy And Sports Medicine Llc | |
807 E Hickland St, Princeton, MO 64673-1227 | |
(660) 748-3600 | |
(660) 748-3605 |
Full Name | Princeton Physical Therapy And Sports Medicine Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 807 E Hickland St, Princeton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871662767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 117457 (Missouri) | Primary |
Provider Name | Amy L Mcdaniel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699860312 PECOS PAC ID: 6608873633 Enrollment ID: I20061103000254 |
Mailing Address | Practice Location Address |
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Princeton Physical Therapy And Sports Medicine Llc 807 E Hickland St, Princeton, MO 64673-1227 Ph: (660) 748-3600 | Princeton Physical Therapy And Sports Medicine Llc 807 E Hickland St, Princeton, MO 64673-1227 Ph: (660) 748-3600 |
Daryian Michelle Grossman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Stewart St, Princeton, MO 64673 Phone: 660-748-3600 | |
Amy Lee Mcdaniel, MS PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 807 Hickland St, Princeton, MO 64673 Phone: 660-748-3600 Fax: 660-748-3605 |