Individual
MR. ARNOLD E VILLAVICENCIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
5431 MAIN ST, KANSAS CITY, MO 64112-2823
(816) 523-5334
Mailing address
2911 EATON STREET, KANSAS CITY, KS 66103
(913) 236-8048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0948
MO
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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