Organization
FORWARD PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT VAN HAUTE (OWNER)
(402) 676-1506
Entity
Organization
Contact information
Practice address
12309 W MAPLE RD, OMAHA, NE 68164-1865
(402) 607-8820
Mailing address
13525 LARIMORE AVE, OMAHA, NE 68164-6128
(402) 676-1506
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
03/03/2026
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