Organization
NOLL SPINE REHABILITATION AND ORTHOPEDIC PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC P NOLL DPT, CERT MDT (PRESIDENT)
(402) 991-7988
Entity
Organization
Contact information
Practice address
11414 W CENTER RD, STE 242, OMAHA, NE 68144-4487
(402) 991-7988
(402) 933-2684
Mailing address
11414 W CENTER RD, STE 242, OMAHA, NE 68144-4487
(402) 991-7988
(402) 933-2684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1870
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025099600
—
NE
Enumeration date
09/12/2005
Last updated
05/03/2013
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