| NPI | 1407038375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARG ORTEGREN Office Manager 308-698-2820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-04-20 |