| NPI | 1861571366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD JOSEPH MARQUETTE Owner 913-484-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-02826) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-04-05 |