| NPI | 1982613527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D LONG President 402-203-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 1906) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 375) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-09-21 |