Organization
CHILDREN'S PHYSICAL THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PETERSEN PT, MS, PCS (DIRECTOR)
(913) 345-1997
Entity
Organization
Contact information
Practice address
5250 W 94TH TER, SUITE 200, PRAIRIE VILLAGE, KS 66207-2502
(913) 345-1997
(913) 345-1990
Mailing address
5250 W 94TH TER, SUITE 200, PRAIRIE VILLAGE, KS 66207-2502
(913) 345-1997
(913) 345-1990
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11-04665
KS
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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