Individual
SOPHIE DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 BELLEVIEW AVE STE 415, KANSAS CITY, MO 64112-1361
(816) 569-2802
Mailing address
1142 CORRINGTON CT, TOWN AND COUNTRY, MO 63017-8415
(314) 275-8283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026176
MO
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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