Doctor Name: | MRS. ANGELA SUE PEDROTTI |
NPI Number: | 1023142049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 11-02505 |
Business Practice Address: | 5600 Cherokee Cir Fairway, KS - 662053301 |
Business Phone Number: | 9137222963 |
Business Fax Number: | |
Mailing Address: | 5600 Cherokee Cir, FAIRWAY |
State: | KS |
Postal Code: | 662053301 |
Phone Number: | 9137222963 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 11-02505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |