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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