Individual
BRYCE DANIEL IDONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
23519 E 10TH ST S, INDEPENDENCE, MO 64056-4211
(816) 359-2919
Mailing address
23519 E 10TH ST S, INDEPENDENCE, MO 64056-4211
(816) 359-2919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025006431
MO
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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