Peresic, Wanda

Peresic, Wanda is an individual health care provider with primary practice located at 1150 N 75Th Pl Suite 100, Kansas City KS 66112-3302. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peresic, Wanda can be contacted via phone (913) 299-7848.

Contact Information

Primary practice address
1150 N 75Th Pl Suite 100 Kansas City KS 66112-3302
Phone: (913) 299-7848
Fax: (913) 299-7849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-02927 Kansas

Profile Details

NPI number 1104826957
LBN Legal business name Peresic, Wanda
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104826957 NPPES
Kansas Other 28805025 BLUECROSS BLUESHIELD

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