| NPI | 1093526634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE MILLER Partner/Owner 316-633-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-02-07 |