Organization
ABBAMARK REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK C. WILSON PT ATC (PRESIDENT)
(816) 589-0100
Entity
Organization
Contact information
Practice address
18905 E 33RD STREET CT S, INDEPENDENCE, MO 64057-3336
(816) 589-0100
Mailing address
18905 E 33RD STREET CT S, INDEPENDENCE, MO 64057-3336
(816) 589-0100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2006
Last updated
08/22/2020
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