| NPI | 1144373416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WES WICKWAR Physical Therapist 620-271-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KS 1103245) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |