| NPI | 1386917003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA M PETERSEN Director 913-345-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS T-03179) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |