Vicki Lee Mcquillan, PT

NPI #1811197650 in Grain Valley, Missouri

Provider Information

NPI Number: 1811197650
Entity Type: Individual
Name: Vicki Lee Mcquillan, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 19, 2007
Last Updated: Jul 19, 2007

Practice Location

Address: 29700 E MAJOR RD
City: Grain Valley
State: Missouri
ZIP Code: 64029-9020
Phone: (816) 847-5683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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