KENNETH BLACK
Restorative Service Providers at 22 Ave, Moundridge, KS

License number
Kansas 14-01477
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address 2
86TH 22Nd Ave, Moundridge, KS 67107
900 Spruce St, Halstead, KS 67056
Phone
(620) 345-2901
(620) 345-2937 (Fax)
National Provider ID: 1073719050
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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