Individual
CRISTIAN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 N AMIDON AVE STE 208, WICHITA, KS 67203-2126
(316) 832-1116
Mailing address
141 E CROOKED CREEK CT, DERBY, KS 67037-1211
(316) 293-9544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06882
KS
261QP2000X
Physical Therapy Clinic/Center
T-05520
KS
Other
Enumeration date
05/14/2021
Last updated
09/08/2021
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