| NPI | 1811060858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESSA S RUNDSTROM Owner 308-338-9238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XR0403X Occupational Therapist, Driving and Community Mobility | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |