Autumn S Payne, PTA

NPI #1376369132 in Cape Girardeau, Missouri

Provider Information

NPI Number: 1376369132
Entity Type: Individual
Name: Autumn S Payne, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Nov 26, 2024
Last Updated: Nov 26, 2024

Practice Location

Address: 1405 NORTH MOUNT AUBURN RD
City: Cape Girardeau
State: Missouri
ZIP Code: 63701-2171
Phone: (573) 335-7868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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