Organization
PHYSICAL THERAPY IN MOTION PC
Active
Organization
PHYSICAL THERAPY IN MOTION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMERLIN U. SODUSTA PT, MBA (PRESIDENT & CEO)
(402) 926-4088
Entity
Organization
Contact information
Practice address
10020 NICHOLAS ST, SUITE 105, OMAHA, NE 68114-2189
(402) 926-4088
(402) 926-4197
Mailing address
10020 NICHOLAS ST, SUITE 105, OMAHA, NE 68114-2189
(402) 926-4088
(402) 926-4197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1177
NE
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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