| NPI | 1700175619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLY BOWLIN Owner/Manager/President 308-623-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2684) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |