| NPI | 1104902337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH K BANKER Director 913-383-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |