| NPI | 1750312161 |
|---|---|
| Doing Business As | ADVANCED PT MAPLE RIDGE |
| Entity Type | Organization |
| Authorized Contact | SHARON BERTHA ROSEBERRY Physical Therapist 316-944-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-021269) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-10-10 |