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Organization

ADVANCED PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ETHAN EVERT P.T. (OWNER)
(402) 486-0602
Entity
Organization

Contact information

Practice address
5640 S 84TH ST, 100, LINCOLN, NE 68516-4471
(402) 486-0602
(402) 486-0604
Mailing address
5640 S 84TH ST, 100, LINCOLN, NE 68516-4471

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
10/17/2016
Last updated
01/02/2017
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