Individual
EVA SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W COLLEGE ST, LIBERTY, MO 64068-1036
(816) 781-3020
Mailing address
1100 ASKEW AVE, KANSAS CITY, MO 64127-1521
(816) 872-6184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015036943
MO
Other
Enumeration date
08/07/2017
Last updated
06/20/2018
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