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Organization

JOINT ACADEMY PHYSICAL THERAPY OF KS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD WALDRON (AUTHORIZED OFFICIAL)
(332) 242-6757
Entity
Organization

Contact information

Practice address
801 E DOUGLAS AVE FL 2, WICHITA, KS 67202-3548
(929) 547-6370
Mailing address
650 CALIFORNIA ST, SAN FRANCISCO, CA 94108-2702

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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