| NPI | 1962170027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SUE BAKER Owner 402-360-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |