| NPI | 1144251232 |
|---|---|
| Doing Business As | PREFERRED PT STATE AVENUE |
| Entity Type | Organization |
| Authorized Contact | DAVID C TODD Physical Therapist/Owner 316-260-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-07-15 |