| NPI | 1093763658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A WERNSMAN Clinic Director 816-537-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2001014048) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-11-01 |