Advanced Pt LLC

NPI #1619537578 in Derby, Kansas

Provider Information

NPI Number: 1619537578
Entity Type: Organization
Organization Name: Advanced Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 13, 2019
Last Updated: Jun 13, 2019

Practice Location

Address: 1410 N WOODLAWN BLVD STE D
City: Derby
State: Kansas
ZIP Code: 67037-2953
Phone: (316) 202-0970

Authorized Official

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

Specialties & Taxonomy Codes

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

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