IVAN VILLAGRANA-FRAIRE

OVERLAND PARK, KS
NPI1124480629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14--02-995)
Enumeration Date2016-03-23
Last Update Date2016-03-23
Business Address
-- IVAN VILLAGRANA-FRAIRE
6400 GLENWOOD ST STE 111
OVERLAND PARK, KS 66202-4014
Phone number: 913-831-2721
Mailing Address
-- IVAN VILLAGRANA-FRAIRE
6201 LONGWOOD AVE
KANSAS CITY, KS 66104-1942
Phone number:
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