| NPI | 1043805492 |
|---|---|
| Doing Business As | ADVANCED PT NORTHEAST |
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES TODD CEO 316-263-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-12 |