Individual
BROCK PETER SIMONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 HOSPITAL DR, PENDER, NE 68047-4507
(402) 385-1851
Mailing address
100 HOSPITAL DR, PENDER, NE 68047-4507
(402) 385-1851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3111
NE
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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