MR. Robert Eugene Mcdougle, LPTA

NPI #1902178106 in Shell Knob, Missouri

Provider Information

NPI Number: 1902178106
Entity Type: Individual
Name: MR. Robert Eugene Mcdougle, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Feb 2, 2012
Last Updated: Feb 2, 2012

Practice Location

Address: 22865 COUNTYLINE RD
City: Shell Knob
State: Missouri
ZIP Code: 65747-7503
Phone: (417) 858-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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