| NPI | 1982884102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M DZINGLE-NIEMOTH Co Owner 402-744-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NE 1204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2468) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2008-04-20 |