| NPI | 1003014358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRICIA E BRADBURY Owner/Physical Therapist 620-215-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1102917) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2014-05-27 |