| NPI | 1104295393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE THOMAS COOK Manager 402-432-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-38402) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |