| NPI | 1730285180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J RAITT Office Manager 402-462-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-03-28 |