Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2281 | NE |
NPI | 1063482750 |
---|---|
Provider Name | Zachary J Girthoffer |
First Address | Omaha, NE 68134-2759 |
Second Address | Fremont, NE 68025-7716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 08/07/2007 |