Organization
BROOKFIELD PHYSICAL REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J HLAVACEK (AUTORIZED OFFICIAL)
(316) 682-6770
Entity
Organization
Contact information
Practice address
205 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7169
(501) 520-0016
Mailing address
200 W DOUGLAS AVE STE 950, WICHITA, KS 67202-3033
(316) 682-6770
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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