Individual
MIA BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 23603, OVERLAND PARK, KS 66283-0603
(913) 681-0606
Mailing address
6711 W 138TH TER APT 1822, OVERLAND PARK, KS 66223-7851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T-06260
KS
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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