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1689315129
ACTIVATE PT LLC
OMAHA, NE
NPI
1689315129
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Entity Type
Organization
Authorized Contact
NATHANIEL ALLAN WISSINK
Owner
402-580-1606
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-04-06
Last Update Date
2023-02-07
Business Address
ACTIVATE PT LLC
9015 ARBOR ST STE 155
OMAHA, NE 68124-2072
Phone number: 402-580-1606
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Mailing Address
ACTIVATE PT LLC
9015 ARBOR ST STE 155
OMAHA, NE 68124-2072
Phone number: 531-213-2666
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