| NPI | 1770038937 |
|---|---|
| Doing Business As | DERITA STRONG |
| Entity Type | Organization |
| Authorized Contact | DERITA JOH'NAY STRONG Specialist/Owner 316-390-1280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: KS 29647) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |