OrganizationActive
Pediatric Therapy Center
NPI 1396915427 · Pediatric Occupational Therapist · Papillion, NE
Provider details
- NPI number
- 1396915427
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Candice Mullendore, Owner(402) 932-2782
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
10601 S 72nd St
Ste. 103
Papillion, NE 68046-3407
Phone: (402) 932-2782
Fax: (402) 932-2705
Approximate (ZIP-level) locationGet directions
Mailing address
10601 S 72nd St
Papillion, NE 68046-3407
Registry dates
- Enumerated
- 2008-03-04
- Last updated
- 2015-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.