Fooks, Deidra Leann

Fooks, Deidra Leann is an individual health care provider with primary practice located at 2308 Liberty Ln , Jefferson City MO 65109-6016. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Fooks, Deidra Leann can be contacted via phone (573) 353-1432.

Contact Information

Primary practice address
2308 Liberty Ln Jefferson City MO 65109-6016
Phone: (573) 353-1432
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1205029766
LBN Legal business name Fooks, Deidra Leann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2007
Last updated Aug 19th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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