Organization
WICHITA INJURY PHYSICAL THERAPY LLC
Active
Other names
Wichita Injury PT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLU OSUNSANMI DPT (COOWNER)
(316) 260-2424
Entity
Organization
Contact information
Practice address
9449 E 21ST ST N STE 200, WICHITA, KS 67206-2970
(316) 260-2424
Mailing address
6127 E CENTRAL AVE, WICHITA, KS 67208-4209
(316) 260-2424
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200298830A
—
KS
Enumeration date
12/14/2019
Last updated
12/14/2019
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