| NPI | 1700049244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT FRYBERGER Office Manager 913-345-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 11-03725) |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2008-07-04 |