Healthcare Provider Details
I. General information
NPI: 1336192988
Provider Name (Legal Business Name): PHYSICAL THERAPY CONNECTION AND NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 ARAPAHOE ST SUITE 2
LINCOLN NE
68502-4417
US
IV. Provider business mailing address
1101 ARAPAHOE ST SUITE 2
LINCOLN NE
68502-4417
US
V. Phone/Fax
- Phone: 402-451-4698
- Fax: 402-477-5227
- Phone: 402-451-4698
- Fax: 402-477-5227
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALLAN
ANTIG
ALMERO
Title or Position: VICE PRESIDENT
Credential: PHYSICAL THERAPIST
Phone: 402-541-4698