Organization
BIO-DYNAMIX PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MANDACINA II DPT (OWNER/DOCTOR OF PHYSICAL THERAPY)
(816) 695-7906
Entity
Organization
Contact information
Practice address
4812 NE 62ND ST, KANSAS CITY, MO 64119-5065
(816) 695-7906
Mailing address
556 RUSH CREEK PKWY, SUITE C, LIBERTY, MO 64068-9609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
07/26/2011
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