Organization
COMMUNITY REHAB PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J THEILER PT (OWNER)
(402) 721-3908
Entity
Organization
Contact information
Practice address
7902 DAVENPORT ST, OMAHA, NE 68114-3631
(402) 393-2294
(402) 393-2754
Mailing address
7902 DAVENPORT ST, OMAHA, NE 68114-3631
(402) 393-2294
(402) 393-2754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
08/08/2012
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