Most Relevant Information
Provider Data
| NPI Number: | 1003446584 |
| Provider Name: | BRENDAN SCOTT OWSLEY PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2019039394 |
Most Important Dates
| Enumeration Date: | 01/23/2020 |
| Last Updated: | 01/23/2020 |
Provider Practice Location
1930 N BUSINESS ROUTE 5 UNIT 1B
CAMDENTON
MO
650202659
Practice Location Phone/Fax
| Phone: | 5733467445 |
| Fax: |
Provider Mailing Location
1930 N BUSINESS ROUTE 5 UNIT 1B
CAMDENTON
MO
650202659
Provider Mailing Phone/Fax
| Phone: | 5733467445 |
| Fax: |