Fundamental Mobile Physical Therapy, LLC

NPI #1558181495 in Lincoln, Nebraska

Provider Information

NPI Number: 1558181495
Entity Type: Organization
Organization Name: Fundamental Mobile Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 15, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 7500 CROSS CREEK CT
City: Lincoln
State: Nebraska
ZIP Code: 68516-3785
Phone: (402) 202-2330

Authorized Official

Name: JENNIFER BAUSCH, DPT
Title: PHYSICAL THERAPIST/OWNER
Phone: (402) 450-0534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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