| NPI | 1477396935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HOCKENBARY Owner 402-322-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |