| NPI | 1578331278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE PETE Member 316-258-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |