Organization
LEAPS AND BOUNDS PEDIATRIC THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY M ESCAMILLA DPT (VICE PRESIDENT/SECRETARY)
(402) 742-7400
Entity
Organization
Contact information
Practice address
4640 BAIR AVE, SUITE 107, LINCOLN, NE 68504-1183
(402) 742-7400
(402) 742-9592
Mailing address
4640 BAIR AVE, SUITE 107, LINCOLN, NE 68504-1183
(402) 742-7400
(402) 742-9592
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2418
NE
225XP0200X
Pediatric Occupational Therapist
1416
NE
235Z00000X
Speech-Language Pathologist
290
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026284900-ST
—
NE
05
—
10026285000-OT
—
NE
05
—
10026285100-PT
—
NE
Enumeration date
04/19/2009
Last updated
11/29/2013
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