SOFIA BACON

OVERLAND PARK, KS
NPI1073057063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-05528)
Enumeration Date2016-12-09
Last Update Date2016-12-09
Business Address
-- SOFIA BACON P.T.
10600 MASTIN ST
OVERLAND PARK, KS 66212-5723
Phone number: 913-681-0606
Mailing Address
-- SOFIA BACON P.T.
PO BOX 741331
ATLANTA, GA 30374-1331
Phone number: 913-469-0503
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