Pediatric Therapy Center in Papillion - Pediatrics
Pediatric Therapy Center - NPI 1396915427
Pediatric Therapy Center is a Pediatrics in Papillion, Nebraska. Pediatric Therapy Center practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatric Therapy Center is 1396915427. The last update date is 2015-07-02.
Pediatric Therapy Center's current location address is 10601 S 72nd St, Papillion, Nebraska. You can contact this provider via phone number 4029322782. The mailing address for Pediatric Therapy Center is 10601 S 72nd St, Papillion, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Therapy Center |
|---|---|
| Address | 10601 S 72nd St, Papillion, Nebraska |
| Phone Number | 4029322782 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mullendore S Candice |
| Credentials | OTR/L |
| Telephone Number | 4029322782 |
NPI Number Detail
| NPI Number | 1396915427 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2015-07-02 |
Provider Mailing Address Detail
| Address | 10601 S 72nd St |
|---|---|
| City | Papillion |
| State | Nebraska (NE) |
| Post Code | 680463407 |
| Phone Number | 4029322782 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code assigned to Pediatric Therapy Center by the Centers for Medicare & Medicaid Services?
The Pediatric Therapy Center has been issued the NPI (National Provider Identifier) 1396915427, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pediatric Therapy Center?
The Pediatric Therapy Center is physically situated at 10601 S 72Nd St, in the city of Papillion, state of NE, with the postal code 680463407.
What is Pediatric Therapy Center's area of expertise and its corresponding taxonomy classification?
The Pediatric Therapy Center's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396915427 to Pediatric Therapy Center?
The Centers for Medicare & Medicaid Services originally issued the 1396915427 to Pediatric Therapy Center on 2008-03-04.
When was the Pediatric Therapy Center's information last updated?
The Pediatric Therapy Center's information was last updated on 2015-07-02.