Organization
COMMUNITY REHAB, INC
Active
Organization
COMMUNITY REHAB, INC
Active
Other names
Community Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J THEILER MPT (OWNER/PHYSICAL THERAPIST)
(402) 721-3908
Entity
Organization
Contact information
Practice address
2380 8TH AVE, SUITE 8, PLATTSMOUTH, NE 68048-2367
(402) 296-3433
(402) 296-3531
Mailing address
2380 8TH AVE STE 8, PLATTSMOUTH, NE 68048-2367
(402) 296-3433
(402) 296-3531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
N/A
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01805
BLUE CROSS BLUE SHIELD
NE
05
—
0586339
—
IA
01
—
193153202
DOL-OWCP
NE
01
—
83270
COVENTRY
NE
01
—
S561
MIDLANDS CHOICE
NE
Enumeration date
08/29/2006
Last updated
05/16/2008
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