Individual ProviderBrigid O'HaraPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5111 E 21st St N, Wichita, KS 67208-1606(316) 651-5200PECOS EnrollmentBased on the most recent information from CMS, provider Brigid O'Hara does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1386055366Provider TypeIndividualFull NameO'Hara, BrigidCredentialPTGenderFemaleSole ProprietorNoEnumeration Date5/13/2014Last Updated5/13/2014Contact InformationPractice LocationPractice Address5111 E 21st St N, Wichita, KS 67208-1606Phone(316) 651-5200FaxUnlisted FaxMailing LocationMailing Address5111 E 21st St N, Wichita, KS 67208-1606Phone(316) 651-5200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-00603Kansas