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1770029449
BRIAN JAMES WALSTROM
KANSAS CITY, MO
NPI
1770029449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2014037309)
Enumeration Date
2017-01-18
Last Update Date
2017-01-18
Business Address
-- BRIAN JAMES WALSTROM PTA
8880 NE 82ND TER
KANSAS CITY, MO 64158-1313
Phone number: 816-437-8122
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Mailing Address
-- BRIAN JAMES WALSTROM PTA
8880 NE 82ND TER
KANSAS CITY, MO 64158-1313
Phone number: 816-437-8122
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