| NPI | 1265591457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A VANLEEUWEN Administrative Manager 913-321-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-02-15 |