Organization
PEDIATRIC THERAPY CENTER
Active
Organization
PEDIATRIC THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE S MULLENDORE OTR/L (OWNER)
(402) 932-2782
Entity
Organization
Contact information
Practice address
10601 S 72ND ST, STE. 103, PAPILLION, NE 68046-3407
(402) 932-2782
(402) 932-2705
Mailing address
10601 S 72ND ST, STE. 103, PAPILLION, NE 68046-3407
(402) 932-2782
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/04/2008
Last updated
07/02/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up