Organization
ADVANCED PT PCA, LLC
Active
Other names
APT Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. TODD MPT (PHYSICAL THERAPIST/OWNER)
(316) 263-0003
Entity
Organization
Contact information
Practice address
7111 E 21ST ST N, STE D-103, WICHITA, KS 67206-1090
(316) 269-1311
(316) 269-1588
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/23/2014
Last updated
03/23/2015
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