Provider First Line Business Practice Location Address:
7405 RENNER ROAD
Provider Second Line Business Practice Location Address:
KU MEDWEST THERAPY
Provider Business Practice Location Address City Name:
SHAWNEE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66217-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-3506
Provider Business Practice Location Address Fax Number:
913-588-3508
Provider Enumeration Date:
04/29/2011