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NPI Code Detail

MEDICARE: MS. CAROL LYNN ORTLIEB P.T.

MEDICARE: MS. CAROL LYNN ORTLIEB P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1841NE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00926896OTHERNERAILROAD MEDICARE

General Provider Information

NPI Number : 1033265459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL LYNN ORTLIEB P.T.
Provider Business Mailing Address
First Line : 4130 PIONEER WOODS DR STE 1
Second Line :
City : LINCOLN
State : NE
Zip : 68506-7552
Country : US
Telephone Number : 402-489-4700
Fax Number : 402-489-5220
Provider Business Practice Location Address
First Line : 4130 PIONEER WOODS DR STE 1
Second Line :
City : LINCOLN
State : NE
Zip : 68506-7552
Country : US
Telephone Number : 402-489-4700
Fax Number : 402-489-5220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 04/19/2017

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Directions to “ MS. CAROL LYNN ORTLIEB P.T.” Practice Location

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