Healthcare Provider Details
I. General information
NPI: 1063539385
Provider Name (Legal Business Name): JOAN G KUHLMANN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 BURLINGWOOD CT
BURLINGTON KS
66839-2418
US
IV. Provider business mailing address
2 BURLINGWOOD CT
BURLINGTON KS
66839-2418
US
V. Phone/Fax
- Phone: 620-364-8829
- Fax:
- Phone: 620-364-8829
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 1102246 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: