IndividualActive
Susan Penner, PHYSICAL THERAPIST
NPI 1902034572 · Pediatric Physical Therapist · Omaha, NE
Provider details
- NPI number
- 1902034572
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPIST
- Sex
- Female
- Sole proprietor
- No
- License
- 225 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8200 Dodge Street
Children'S Hospital & Medical Center
Omaha, NE 68114-4113
Phone: (402) 955-3980
Approximate (ZIP-level) locationGet directions
Mailing address
32108 W Lake Park Dr
South Bend, NE 68058-4323
Registry dates
- Enumerated
- 2009-06-23
- Last updated
- 2009-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.