| NPI | 1285743021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J THEILER Owner/Physical Therapist 402-721-3908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE N/A) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-05-16 |