Organization
SEWARD PHYSICAL THERAPY SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WAYNE POMERENKE P.T. (PRESIDENT)
(402) 643-6111
Entity
Organization
Contact information
Practice address
418 SEWARD ST, SEWARD, NE 68434-2129
(402) 643-6111
Mailing address
418 SEWARD ST, SEWARD, NE 68434-2129
(402) 643-6111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
758
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099633
PTAN
NE
Enumeration date
05/16/2007
Last updated
09/05/2013
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