| NPI | 1396915427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE S MULLENDORE Owner 402-932-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2015-07-02 |