Barry Dwayne Whiteside, PT
NPI #1073556973 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1073556973
- Entity Type
- Individual
- Name
- Barry Dwayne Whiteside, PT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 126 MISSOURI AVE
- Address 2
- MCXP-CCS-CR
- State
- Missouri
- ZIP Code
- 65473-8952
- Phone
- (573) 596-0417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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