Richard Pestillos, PT

NPI #1104095546 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1104095546
Entity Type: Individual
Name: Richard Pestillos, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 28, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 3001 MAY ST
Address 2: MARK TWAIN CARING CENTER
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-1942
Phone: (573) 778-0854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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