| NPI | 1255729455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA BOESER Owner 308-636-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NE 1569) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-02-27 |