NPI | 1992731699 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA M PETERSEN Owner 913-345-9310 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KS 1100490) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2014-04-11 |