| NPI | 1356373658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARG ORTEGREN Office Manager 308-236-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 225100000X) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-05-28 |