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Individual

MS. DEIDINA N/A CARRION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
8821 N CONGRESS AVE APT 1122, KANSAS CITY, MO 64153-1893
(787) 341-8167
Mailing address
8821 N CONGRESS AVE APT 1122, KANSAS CITY, MO 64153-1893
(787) 341-8167

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
003461
PR
225200000X
Physical Therapy Assistant
Primary
2025019259
MO

Other

Enumeration date
10/14/2025
Last updated
10/14/2025
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