| NPI | 1780996033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BOOHER Manager 402-423-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NE 1976) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |