| |
11336 S 96th St Ste 114, Papillion, NE 68046-4211 | |
(402) 315-3603 | |
(402) 315-3604 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 11336 S 96th St Ste 114, Papillion, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174344618 | NPI | - | NPPES |
1174344618 | Other | NE | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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11623 Arbor St Ste 200, Omaha, NE 68144-2991 Ph: (402) 334-6025 | 11336 S 96th St Ste 114, Papillion, NE 68046-4211 Ph: (402) 315-3603 |