Organization
PROMOTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WITTUM PT (PHYSICAL THERAPIST)
(620) 305-8002
Entity
Organization
Contact information
Practice address
122 S NEOSHO, CHERRYVALE, KS 67335
(620) 305-8099
Mailing address
122 S NEOSHO, CHERRYVALE, KS 67335
(620) 305-8099
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11-02349
KS
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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