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Organization

KEY REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LACEY ELIZABETH BOZARTH CPTA (CERTIFIED PHYSICAL THERAPIST ASST.)
(785) 817-0062
Entity
Organization

Contact information

Practice address
3339 SW NOTTINGHAM RD, TOPEKA, KS 66614-4640
(785) 817-0062
Mailing address
3339 SW NOTTINGHAM RD, TOPEKA, KS 66614-4640
(785) 817-0062

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
14-01920
KS
314000000X
Skilled Nursing Facility
Primary
14-01920
KS

Other

Enumeration date
05/10/2010
Last updated
05/10/2010
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