Healthcare Provider Details

I. General information

NPI: 1346011491
Provider Name (Legal Business Name): ARMOUR DRIVE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 01/09/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3247 ARMOUR DRIVE
FREMONT NE
68025
US

IV. Provider business mailing address

3247 ARMOUR DRIVE
FREMONT NE
68025
US

V. Phone/Fax

Practice location:
  • Phone: 401-910-1812
  • Fax: 402-459-2029
Mailing address:
  • Phone: 401-910-1812
  • Fax: 402-459-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: PATTI KONWINSKI
Title or Position: OCCUPATIONAL THERAPIST
Credential: OT
Phone: 402-910-1812