| NPI | 1144751330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE K NOVACEK Physical Therapist 913-231-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: KS 11-03059) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |