Sofia Bacon, P.T. Valid NPI

Individual provider · Physical Therapist · Overland Park, KS

NPI

1073057063

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

11-05528 (KS)

Sex

Female

Sole proprietor

No

Enumerated

2016-12-09

Last updated

2016-12-09