Athletico Excel Nebraska, LLC

NPI #1013407733 in Omaha, Nebraska

Provider Information

NPI Number
1013407733
Entity Type
Organization
Organization Name
Athletico Excel Nebraska, LLC
Primary Specialty
Clinic/Center
Enumeration Date
May 17, 2018
Last Updated
May 17, 2018

Practice Location

Address
3301 DODGE ST BLDG 1
City
Omaha
ZIP Code
68131-3416
Phone
(402) 351-4500

Authorized Official

Name
JUANA GRANADOS
Title
CREDENTIALING MANAGER
Phone
(630) 575-1980

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Occupational Therapist
Clinic/Center

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