| NPI | 1578292413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN WHITE PT, D PT 620-660-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2023-04-11 |