Organization
ADVANCED PT 47TH STREET LLC
Active
Other names
Advanced PT 47th Street
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C TODD P.T. (PHYSICAL THERAPIST/OWNER)
(316) 260-6869
Entity
Organization
Contact information
Practice address
3351 E 47TH ST S, WICHITA, KS 67216-3059
(316) 522-7400
(316) 524-0707
Mailing address
200 W DOUGLAS, STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02998
KS
Other
Enumeration date
07/06/2006
Last updated
10/15/2007
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