| NPI | 1982777850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN GODFREY Senior Accountant 402-334-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 6628) |
| 261QP2000X Clinic/Center Physical Therapy (Licence: NM 6628) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2023-10-31 |