| NPI | 1639568116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDYE GODDEN Executive Director 402-359-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-05-20 |