NPI | 1104991702 |
---|---|
Doing Business As | PREFERRED PT CHERRY LANE |
Entity Type | Organization |
Authorized Contact | DAVID C TODD Owner 316-260-6869 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2006-11-21 |
Last Update Date | 2008-02-19 |