COLLEGE PARK ANCILLARY, LLC

OVERLAND PARK, KS
NPI1356617757
Entity TypeOrganization
Authorized ContactCHARLES O CHAMBERS
Administrator
913-469-0503
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center Physical Therapy
Enumeration Date2012-03-29
Last Update Date2013-10-11
Business Address
COLLEGE PARK ANCILLARY, LLC
10600 MASTIN ST
OVERLAND PARK, KS 66212-5723
Phone number: 913-681-0606
Mailing Address
COLLEGE PARK ANCILLARY, LLC
PO BOX 742554
ATLANTA, GA 30374-2105
Phone number: 913-469-0503
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