Individual
MR. MALCOLM BASINILLO ACIERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1600 SOUTH KINGSHIGHWAY, INDEPENDENCE, MO 64055
(816) 833-4777
Mailing address
508 NE CHIPMAN RD APT 92, LEES SUMMIT, MO 64063-2583
(773) 780-7669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006024392
MO
Other
Enumeration date
05/23/2007
Last updated
03/03/2008
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