| NPI | 1730618414 |
|---|---|
| Doing Business As | ADVANCED PT COFFEYVILLE |
| Entity Type | Organization |
| Authorized Contact | DAVID C. TODD Owner / Physical Therapist 316-263-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |