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NPI Code Detail

MEDICARE: JOAN LAMANILAO OZBENT

MEDICARE: JOAN LAMANILAO OZBENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2006001773MO

General Provider Information

NPI Number : 1912177213
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN LAMANILAO OZBENT
Provider Business Mailing Address
First Line : 206 MADISON ST
Second Line : APT. E
City : KENNETT
State : MO
Zip : 63857-1735
Country : US
Telephone Number : 870-897-4603
Fax Number :
Provider Business Practice Location Address
First Line : 500 BARRETT DR
Second Line :
City : MALDEN
State : MO
Zip : 63863-1204
Country : US
Telephone Number : 573-276-3843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2008
Last Update Date : 06/03/2009

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Directions to “ JOAN LAMANILAO OZBENT ” Practice Location

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