Organization
MARIAN LORD, PHYSICAL THERAPIST, P.C.
Active
Organization
MARIAN LORD, PHYSICAL THERAPIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAN JEAN LORD P.T. (PRESIDENT)
(402) 334-6213
Entity
Organization
Contact information
Practice address
14441 DUPONT CT, SUITE 102, OMAHA, NE 68144-2153
(402) 334-6213
(402) 334-6218
Mailing address
14441 DUPONT CT, SUITE 102, OMAHA, NE 68144-2153
(402) 334-6213
(402) 334-6218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
712
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09205
BLUE CROSS
NE
01
—
F247007
MIDLANDS CHOICE
NE
01
—
NA1244
MEDICARE PTAN
NE
Enumeration date
01/02/2009
Last updated
03/11/2009
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