Organization
MAKOVICKA SYLLIAASEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY SYLLIAASEN PT (PRESIDENT)
(402) 443-4555
Entity
Organization
Contact information
Practice address
559 W 15TH ST, WAHOO, NE 68066-1280
(402) 443-4555
(402) 443-4554
Mailing address
PO BOX 427, WAHOO, NE 68066-0427
(420) 443-4555
(402) 443-4554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025247500
—
NE
Enumeration date
05/26/2006
Last updated
07/03/2013
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