Most Relevant Information
Provider Data
NPI Number: | 1003028234 |
Provider Name: | MARIE SHIREMAN PT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 00649 |
Most Important Dates
Enumeration Date: | 05/03/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
2727 MC CLELLAND BLVD
JOPLIN
MO
648041626
Practice Location Phone/Fax
Phone: | 4177812727 |
Fax: |
Provider Mailing Location
1515 S MONROE AVE
JOPLIN
MO
648013631
Provider Mailing Phone/Fax
Phone: | 4177826149 |
Fax: |