Organization
ADVANCED PT LLC
Active
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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