Advanced Pt Mclean LLC

NPI #1417043241 in Wichita, Kansas

Provider Information

NPI Number: 1417043241
Entity Type: Organization
Organization Name: Advanced Pt Mclean LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 5, 2006
Last Updated: Oct 12, 2007

Practice Location

Address: 555 N MCLEAN BLVD
City: Wichita
State: Kansas
ZIP Code: 67203-5815
Phone: (316) 265-0902

Authorized Official

Name: DAVID C TODD, P.T.
Title: OWNER
Phone: (316) 260-6869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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