| 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 |