SearchMissouri225100000X

Antonio Mauricio, PT

NPI 1992279830 · on the registry since 2019

Practice

Address
3999 Highway Pp
Poplar Bluff, MO 63901
Phone
(573) 712-2280
Organisation at this address
Select Physical Therapy Holdings, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-30

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