Organization
EXSTROM PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ANNE EXSTROM LARSEN P.T (PRESIDENT/OWNER)
(402) 488-4282
Entity
Organization
Contact information
Practice address
3818 NORMAL BLVD, LINCOLN, NE 68506
(402) 488-4282
(402) 488-6157
Mailing address
3818 NORMAL BLVD, LINCOLN, NE 68506
(402) 488-4282
(402) 488-6157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249565-00
—
NE
05
—
10024956500
—
NE
Enumeration date
03/09/2007
Last updated
07/03/2012
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