Organization
RIVERSIDE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTY PETERSON PT (PHYSICAL THERAPIST)
(308) 727-4070
Entity
Organization
Contact information
Practice address
47581 815TH RD, ORD, NE 68862-5362
(308) 728-4070
(866) 411-4048
Mailing address
47581 815TH RD, ORD, NE 68862-5362
(308) 728-4070
(866) 411-4048
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
670
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578840484
NPI
NE
Enumeration date
12/03/2012
Last updated
08/12/2013
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