Organization
ADVANCE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA KATHERINE HATCHER (BUSINESS MANAGER)
(785) 232-9805
Entity
Organization
Contact information
Practice address
6001 SW 6TH AVE, SUITE 230, TOPEKA, KS 66615-1011
(785) 232-9805
(785) 232-9806
Mailing address
6001 SW 6TH AVE, SUITE 230, TOPEKA, KS 66615-1011
(785) 232-9805
(785) 232-9806
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100320850A
—
KS
01
—
115511
BCBS OF KANSAS
KS
01
—
646300
FIRST GUARD
KS
Enumeration date
02/22/2006
Last updated
10/19/2011
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