| NPI | 1720450687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE VANDERHEIDEN Owner 402-619-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NE 2225) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |