Organization Name: | VALENTINE PHYSICAL THERAPY AND SPORTS REHAB, LLC. |
NPI Number: | 1487940698 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LANELL MAE GRAHAM (PHYSICAL THERAPIST) |
Mailing Address: | 132 S Hall St Valentine |
State: | NE US |
Postal Code: | 692012162 |
Phone Number: | 4023761140 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2011 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 2861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |