| NPI | 1508871179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE BRUNKEN President/Physical Therapist 402-933-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1616) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-11-02 |