Organization
COMMUNITY REHAB, INC
Active
Other names
Community Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J THEILER PT (OWNER)
(402) 721-3908
Entity
Organization
Contact information
Practice address
1408 VETERANS DRIVE, SUITE 102, ELKHORN, NE 68022
(402) 289-3288
(402) 289-2550
Mailing address
1408 VETERANS DRIVE, SUITE 102, ELKHORN, NE 68022
(402) 289-3288
(402) 289-2550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01805
BCBS OF NEBRASKA
NE
01
—
CH3115
RR MEDICARE
NE
Enumeration date
09/08/2009
Last updated
09/08/2009
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