| NPI | 1043607674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY REARDON Office Mngr/Occupational Therapist 913-515-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: KS 11-03207) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2020-12-10 |