Organization
CP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS LAWRENCE PETERSEN IV PT,DPT (PHYSICAL THERAPIST/OWNER)
(402) 669-8067
Entity
Organization
Contact information
Practice address
1439 E 23RD ST, FREMONT, NE 68025-2433
(402) 669-8067
Mailing address
1439 E 23RD ST, FREMONT, NE 68025-2433
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2589
NE
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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