| NPI | 1497925556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE K. PETERSON Physical Therapist 402-833-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 687) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |