Organization
MAKOVICKA HARMS GROUP, PC
Active
Other names
Makovicka Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MAKOVICKA (PRESIDENT)
(402) 932-6791
Entity
Organization
Contact information
Practice address
8419 S 73RD PLZ, SUITE 104, PAPILLION, NE 68046-1507
(402) 991-2745
Mailing address
17330 WRIGHT ST, SUITE 102, OMAHA, NE 68130-2157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA 2072
MEDICARE PTAN
NE
Enumeration date
06/14/2012
Last updated
06/14/2012
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