Provider Demographics
NPI:1518779321
Name:UNION COLLEGE DBA UNION PHYSICAL THERAPY
Entity type:Organization
Organization Name:UNION COLLEGE DBA UNION PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF ACADEMIC ADMINIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:402-486-2600
Mailing Address - Street 1:3800 S. 48TH STREET
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-486-2600
Mailing Address - Fax:402-486-2567
Practice Address - Street 1:3733 S. 52ND STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-486-2528
Practice Address - Fax:402-486-2567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNION COLLEGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty