Organization
OMAHA PHYSICAL THERAPY INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT HENRY CORDERY DPT (PRESIDENT)
(402) 934-8688
Entity
Organization
Contact information
Practice address
625 N 144TH AVE, SUITE 102, OMAHA, NE 68154-0000
(402) 934-8688
(402) 934-8689
Mailing address
625 N 144TH AVE, SUITE 102, OMAHA, NE 68154-0000
(402) 934-8688
(402) 934-8689
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2429
NE
Other
Enumeration date
06/27/2007
Last updated
03/03/2015
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