Organization
GO PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LEE BRUNKEN P.T. (PRESIDENT/PHYSICAL THERAPIST)
(402) 933-8333
Entity
Organization
Contact information
Practice address
18101 R PLZ, SUITE 106, OMAHA, NE 68135-1928
(402) 933-8333
(402) 933-4755
Mailing address
18101 R PLZ, SUITE 106, OMAHA, NE 68135-1928
(402) 933-8333
(402) 933-4755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1616
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025395000
—
NE
Enumeration date
07/30/2006
Last updated
11/02/2007
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