| NPI | 1053435263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY D HERMAN Physical Therapist 402-393-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1669) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |