Organization
MIDWEST REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE THOMAS COOK M.D. (MANAGER)
(402) 960-2941
Entity
Organization
Contact information
Practice address
4955 S 176TH CIR, OMAHA, NE 68135-3435
(402) 960-2941
Mailing address
4955 S 176TH CIR, OMAHA, NE 68135-3435
(402) 960-2941
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20027
NE
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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