Organization
VALENTINE PHYSICAL THERAPY AND SPORTS REHAB, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANELL MAE GRAHAM D.P.T. (PHYSICAL THERAPIST)
(402) 340-6501
Entity
Organization
Contact information
Practice address
130 W 4TH ST, VALENTINE, NE 69201-1830
(402) 376-1140
(402) 376-1140
Mailing address
130 W 4TH ST, VALENTINE, NE 69201-1830
(402) 376-1140
(402) 376-1140
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2861
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026179000
—
NE
Enumeration date
06/26/2011
Last updated
07/21/2022
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