| NPI | 1578896841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE MONTAGUE SNYDER Managing Member 316-687-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: KS 1102303) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: KS 11-02303) |
| 225X00000X Occupational Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225400000X Rehabilitation Practitioner | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2012-02-12 |