Advanced Pt LLC

NPI #1134633738 in Wichita, Kansas

Provider Information

NPI Number: 1134633738
Entity Type: Organization
Organization Name: Advanced Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 20, 2017
Last Updated: Nov 20, 2017

Practice Location

Address: 1725 E DOUGLAS AVE STE 103
City: Wichita
State: Kansas
ZIP Code: 67211-1610
Phone: (316) 202-0987

Authorized Official

Name: DAVID CHARLES TODD
Title: PT, OWNER
Phone: (316) 263-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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