Organization
BALANCE & NEUROLOGICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH COOKE PT PHD (OWNER)
(816) 679-7056
Entity
Organization
Contact information
Practice address
12000 W 110TH ST, SUITE 400, OVERLAND PARK, KS 66210-3938
(816) 679-7056
(816) 931-7392
Mailing address
12000 W 110TH ST, SUITE 400, OVERLAND PARK, KS 66210-3938
(816) 679-7056
(816) 931-7392
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
0556
MO
2251N0400X
Neurology Physical Therapist
Primary
11-02878
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32911028
BC/BS
MO
01
—
399054
BC/BS
KS
Enumeration date
10/13/2006
Last updated
08/22/2020
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