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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