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Wilcox Advanced Physical Therapy, LLC

Physical Therapist in Wichita, KS. Organization (NPI-2).

NPI number1104912922
StatusActive
Last updated in NPPESNov 28, 2012

Details

NPI
1104912922
Entity type
Organization (NPI-2)
Legal business name
Wilcox Advanced Physical Therapy, LLC
Organization subpart
No
Enumeration date
Oct 5, 2006
Last updated
Nov 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist11-03350KSYes

Practice location

2243 S Meridian Ave
Wichita, KS 67213-1949

Phone 316-942-5448 · Fax 316-945-5694

Mailing address

200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013

Phone 316-263-0003 · Fax 316-263-1241

Authorized official

Matthew D Wilcox
Owner
3169425448

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