| NPI | 1598112724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS LAWRENCE PETERSEN Physical Therapist/Owner 402-669-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NE 2589) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |