| 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 |