| NPI | 1568401982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE ERICA SORENSON Owner 308-534-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NE 23650) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-03-18 |