Organization
ADVANCED PT LLC
Active
Other names
Advanced PT Maple Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BERTHA ROSEBERRY P.T. (PHYSICAL THERAPIST)
(316) 944-0022
Entity
Organization
Contact information
Practice address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Mailing address
7130 W MAPLE ST, STE 200, WICHITA, KS 67209-2101
(316) 944-0022
(316) 944-0020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-021269
KS
Other
Enumeration date
07/05/2006
Last updated
10/10/2007
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