| NPI | 1386319226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D MCCLOSKEY Chief Care Officer 913-912-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |