| NPI | 1376569004 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALVIN MORALES Vice President 402-201-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1310) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-09-24 |