| NPI | 1992316806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA PONCHUR Owner, Physical Therapist 913-645-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-09-03 |