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Deidra Fooks, PTA
NPI 1205029766 · on the registry since 2007
Practice
- Address
- 2308 Liberty Ln
Jefferson City, MO 65109 - Phone
- (573) 353-1432
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Sex
- Female
- Record last updated
- 2007-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri