STEPHEN CORNELISON, PTA

Physical Therapy Assistant

Active Individual
NPI: 1194944629

Practice Address

1501 TIDEWATER DR
Columbia, MO 65202

Phone: (573) 442-9728

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 2001015505 (MO)

Frequently Asked Questions

NPI 1194944629 is the National Provider Identifier for STEPHEN CORNELISON, PTA, a Physical Therapy Assistant provider located in Columbia, MO. This NPI was enumerated on April 24, 2007.
STEPHEN CORNELISON, PTA practices at 1501 TIDEWATER DR, Columbia, MO 65202.

Quick Facts

NPI
1194944629
Type
Individual
Enumerated
Apr 24, 2007
Last Updated
May 22, 2008

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