Individual
MARY ANN AGGABAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST STE 121, SHAWNEE MISSION, KS 66204-2241
(913) 362-7518
Mailing address
9407 E 64TH TER, RAYTOWN, MO 64133-4916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006034870
MO
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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