Alicia Vestal, PTA

NPI #1629437926 in Unionville, Missouri

Provider Information

NPI Number: 1629437926
Entity Type: Individual
Name: Alicia Vestal, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 15, 2016
Last Updated: Feb 15, 2016

Practice Location

Address: 1926 OAK ST
City: Unionville
State: Missouri
ZIP Code: 63565-1180
Phone: (660) 947-7919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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