Organization
OMAHA THERAPY DBA REHAB VISIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN HERAUF (AREA MANAGER)
(701) 483-9400
Entity
Organization
Contact information
Practice address
683 STATE AVE STE B, DICKINSON, ND 58601-4660
(701) 483-9400
(701) 483-9398
Mailing address
683 STATE AVE STE B, DICKINSON, ND 58601-4660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1504
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12229
BCND
ND
05
—
52114
—
ND
Enumeration date
06/30/2008
Last updated
06/30/2008
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