| NPI | 1437709615 |
|---|---|
| Doing Business As | COLLEGE PARK PT |
| Entity Type | Organization |
| Authorized Contact | SHELLEY L LEWIS Owner President 913-269-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-02-01 |