| NPI | 1154963288 |
|---|---|
| Doing Business As | ADVANCED PT PARK CITY |
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES TODD Owner 316-263-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |