Individual
MR. ALVIN ORTEGA BENEMERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
102 E SOUTH ST, RCH REHAB DEPARTMENT, BASSETT, NE 68714-5508
(402) 684-3366
(413) 431-5660
Mailing address
PO BOX 38, 621 NORTH MAIN ST, LONG PINE, NE 69217-0038
(402) 273-3164
(413) 431-5660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0932
SD
225100000X
Physical Therapist
Primary
1353
NE
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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