| NPI | 1811672439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA CHARLAND Compliance Specialist 402-252-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |