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Organization
NORTHLAND PEDIATRIC PHYSICAL THERAPY, LLC
Active
Organization
NORTHLAND PEDIATRIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R HUYSER PT (OWNER/PHYSICAL THERAPIST)
(816) 535-0011
Entity
Organization
Contact information
Practice address
6609 ROYAL ST STE 103, PLEASANT VALLEY, MO 64068-8737
(816) 535-0011
(816) 535-0377
Mailing address
6609 ROYAL ST STE 103, PLEASANT VALLEY, MO 64068-8737
(816) 535-0011
(816) 535-0377
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2000167618
MO
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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