Individual
FREDERICK PASTORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 PARMA WAY, GARDNER, KS 66030-1296
(913) 548-3300
Mailing address
725 PARMA WAY, GARDNER, KS 66030-1296
(913) 548-3300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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