Organization
PRIME PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE STAMM PT (PRESIDENT)
(402) 212-8971
Entity
Organization
Contact information
Practice address
10456 CHANDLER CIR STE 103, LA VISTA, NE 68128-3257
(402) 212-8971
(401) 201-2380
Mailing address
10456 CHANDLER CIR STE 103, LA VISTA, NE 68128-3257
(402) 212-8971
(401) 201-2380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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