NPI | 1962450569 |
---|---|
Doing Business As | SERC OF KANSAS CITY NORTH; SERC OF METRO NORTH |
Entity Type | Organization |
Authorized Contact | ROBERT A MITCHELL Clinic Director/Owner 816-505-3422 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 103074) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2012-11-02 |