NPI | 1366596520 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL A. BARTLETT Executive Director 816-420-9005 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2001031051) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 000623) |
235Z00000X Speech-Language Pathologist, (Licence: MO 117116) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2014-12-05 |