Organization Name: | CHILDREN'S PHYSICAL THERAPY ASSOCIATES |
NPI Number: | 1003254913 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAT FRYBERGER (OFFICE MANAGER) |
Mailing Address: | 6600 College Blvd Suite 307 Overland Park |
State: | KS US |
Postal Code: | 662111939 |
Phone Number: | 9133451997 |
Fax Number: | 9133451990 |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | T03588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |