James W Cornell Jr., PTA
Physical Therapy Assistant in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1356908040
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1356908040
- Entity type
- Individual (NPI-1)
- Name
- Mr. James W Cornell Jr.
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2019
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2016025015 | MO | Yes |
Practice location
1405 N Mt. Auburn RdCape Girardeau, MO 63701-2171
Phone 573-651-5537
Mailing address
1405 N Mt. Auburn RdCape Girardeau, MO 63701-2171
Phone 314-623-5732
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All 33 Physical Therapy Assistant providers in Cape Girardeau · All 2,422 providers in Cape Girardeau
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