NPI | 1629595756 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY WARREN Authorized Offical 316-882-5353 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2017-08-29 |
Last Update Date | 2018-03-17 |