Liberty D Underwood, PTA

NPI #1760615389 in Adrian, Missouri

Provider Information

NPI Number: 1760615389
Entity Type: Individual
Name: Liberty D Underwood, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 30, 2009
Last Updated: Aug 30, 2009

Practice Location

Address: 402 W 1ST ST
City: Adrian
State: Missouri
ZIP Code: 64720-9277
Phone: (816) 297-2107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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