| NPI | 1023899739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J KUBIK Member 402-721-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-11-04 |