Individual
BECKY PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NW ENGLEWOOD RD, GLADSTONE, MO 64118-4054
(816) 413-0900
(816) 413-0737
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019017144
MO
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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