| NPI | 1679696199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BARTON DONELAN President 402-332-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 753) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |