Individual
MS. PATRICIA IMITOLA- PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 756-0780
Mailing address
1404 NE PARVIN RD, APT. # 208, KANSAS CITY, MO 64116-5010
(816) 756-0780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006015398
MO
235Z00000X
Speech-Language Pathologist
T-SLP: 2421
KS
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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