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Stephen Cornelison, PTA
NPI 1194944629 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1501 Tidewater Dr
Columbia, MO 65202 - Phone
- (573) 442-9728
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-22
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