Organization
OMAHA SPORTS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H. POTACH P.T. (OWNER)
(402) 330-2774
Entity
Organization
Contact information
Practice address
12100 W CENTER RD, SUITE 525, OMAHA, NE 68144-3969
(402) 330-2774
(402) 330-2779
Mailing address
12100 W CENTER RD, SUITE 525, OMAHA, NE 68144-3969
(402) 330-2774
(402) 330-2779
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024986200
—
NE
Enumeration date
11/20/2006
Last updated
06/09/2008
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