| NPI | 1669777603 |
|---|---|
| Doing Business As | PREFERRED PT STATE AVENUE |
| Entity Type | Organization |
| Authorized Contact | BETH A HOFER Owner 913-299-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2013-07-23 |