Organization
MAKOVICKA HARMS GROUP, PC
Active
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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