STEPHANIE PROVANCE

KANSAS CITY, MO
NPI1962633669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2009021598)
Enumeration Date2009-07-30
Last Update Date2009-07-30
Business Address
-- STEPHANIE PROVANCE DPT
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3380
Mailing Address
-- STEPHANIE PROVANCE DPT
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number:
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