Pernell, Mary Susan

Pernell, Mary Susan is an individual health care provider with primary practice located at 2011 Corona Rd Ste 301 , Columbia MO 65203-2548. 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. Pernell, Mary Susan can be contacted via phone (314) 543-3861.

Contact Information

Primary practice address
2011 Corona Rd Ste 301 Columbia MO 65203-2548
Phone: (314) 543-3861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 116138 Missouri

Profile Details

NPI number 1861743817
LBN Legal business name Pernell, Mary Susan
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2012
Last updated Sep 29th, 2012 - about 13 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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