| NPI | 1447208095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L CORRADO Clinic Director 913-451-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03366) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-11-01 |