| NPI | 1508289323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WITTUM Physical Therapist 620-305-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KS 11-02349) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |