| NPI | 1194719377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIAM PINAMONTI President 620-235-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1102680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1103444) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2011-10-13 |