| NPI | 1447990643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA WELBORN Bookkeeper 402-925-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 103TS0200X Psychologist, School | |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |