Innovative Physical Therapy

NPI #1346372588 in Wichita, Kansas

Provider Information

NPI Number: 1346372588
Entity Type: Organization
Organization Name: Innovative Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Mar 12, 2007
Last Updated: Nov 2, 2010

Practice Location

Address: 545 N. CARRIAGE PARKWAY
City: Wichita
State: Kansas
ZIP Code: 67208-4506
Phone: (316) 612-4900

Authorized Official

Name: MRS. FARAH M GOHARI, PT
Title: OWNER, PHYSICAL THERAPIST
Phone: (316) 612-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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