Individual
JOHN ANTHONY VIVONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
8239 NW BARRYBROOKE CT, KANSAS CITY, MO 64151-1057
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
2001006780
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001006780
STATE LICENSE
MO
Enumeration date
02/06/2008
Last updated
02/06/2008
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