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Organization
PHYSICAL MEDICINE AND REHABILITATION SERVICES, INC.
Active
Organization
PHYSICAL MEDICINE AND REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL LEE BASKIN (PRACTICE MANAGER)
(816) 373-8715
Entity
Organization
Contact information
Practice address
3445 S 291 HWY, SUITE 303, INDEPENDENCE, MO 64057-2663
(816) 373-8715
(816) 795-9388
Mailing address
3445 S 291 HWY, SUITE 303, INDEPENDENCE, MO 64057-2663
(816) 373-8715
(816) 795-9388
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
05-27198
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
102396
MO
2084N0400X
Neurology Physician
2008002407
MO
Other
Enumeration date
05/18/2008
Last updated
10/19/2010
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