Provider First Line Business Practice Location Address: 
2740 N CLARKSON ST STE 200
    Provider Second Line Business Practice Location Address: 
EXCEL PHYSICAL THERAPY
    Provider Business Practice Location Address City Name: 
FREMONT
    Provider Business Practice Location Address State Name: 
NE
    Provider Business Practice Location Address Postal Code: 
68025
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
402-721-0235
    Provider Business Practice Location Address Fax Number: 
402-721-6167
    Provider Enumeration Date: 
04/25/2007