Individual
RENEE LYN WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
14112 KING ST, OVERLAND PARK, KS 66221-8004
(913) 402-0651
Mailing address
14112 KING ST, OVERLAND PARK, KS 66221-8004
(913) 402-0651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02133
KS
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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