| NPI | 1811933716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBER EUBANKS Md 913-901-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-10-04 |