Organization
GINA V PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MARIE VANDERHEIDEN (OWNER)
(402) 619-6064
Entity
Organization
Contact information
Practice address
114 E 1ST STREET, PAPILLION, NE 68046
(402) 619-6180
Mailing address
12362 S 78TH ST, PAPILLION, NE 68046-4621
(402) 619-6180
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2225
NE
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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