Individual
MRS. SUELLEN CAROLINE CRUZ JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 E 77TH TER, KANSAS CITY, MO 64131-1939
(816) 313-9985
Mailing address
1120 E 77TH TER, KANSAS CITY, MO 64131-1939
(816) 313-9985
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2020014754
MO
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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