NPI | 1053725812 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD K RAUGEWITZ Owner 620-255-1853 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2011035532) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |