Individual
JOHN ANTHONY MANDACINA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2100 SWIFT AVE, KANSAS CITY, MO 64116-3426
(816) 474-8877
Mailing address
2100 SWIFT AVE, KANSAS CITY, MO 64116-3426
(816) 474-8877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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