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John Anthony Vivona, PTA
Respiratory/Developmental/Rehabilitative Specialist/Technologist in Overland Park, Kansas
NPI 1316125818

John Anthony Vivona is a Respiratory/Developmental/Rehabilitative Specialist/Technologist based in Kansas City, KS. John Anthony Vivona practices in Overland Park, KS and has the professional credentials of PTA. The NPI Number for John Anthony Vivona is 1316125818 and holds a License No. 2001006780 (Kansas).

The current practice location address for John Anthony Vivona is 10300 W 103Rd St, Overland Park, KS and can be reached out via phone at 913-894-1910. You can also correspond with John Anthony Vivona through the mailing address at 8239 NW BARRYBROOKE CT, KANSAS CITY, MO - 64151-1057 (mailing address contact number: ).

Location: 10300 W 103Rd St, Overland Park, KS, 64151-1057
person
Provider Profile Details
NPI Number
1316125818
Provider Name
John Anthony Vivona
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
10300 W 103Rd St, Overland Park, KS, 64151-1057
Phone Number
913-894-1910
Fax Number
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2001006780 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
10300 W 103Rd St
City
State
Zip
66214-2642
Phone Number
913-894-1910
Fax Number
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Provider Business Mailing Address Details
Address
8239 Nw Barrybrooke Ct
City
State
Zip
64151-1057
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
License No.
2001006780 (Missouri)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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