| NPI | 1710295761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABE TEFERRA Financial & Clinical Administrator 913-588-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-00423) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |