| NPI | 1598332447 |
|---|---|
| Other Name | PREFERRED PT STATE AVENUE |
| Entity Type | Organization |
| Authorized Contact | KAREN E WILSON CEO 316-263-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2022-11-28 |