| NPI | 1427371665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN GODFREY Senior Accountant/Delegated Officia 402-334-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2020-06-01 |