Provider Demographics
NPI:1346011491
Name:ARMOUR DRIVE THERAPY, LLC
Entity Type:Organization
Organization Name:ARMOUR DRIVE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KONWINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:402-910-1812
Mailing Address - Street 1:3247 ARMOUR DRIVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025
Mailing Address - Country:US
Mailing Address - Phone:401-910-1812
Mailing Address - Fax:402-459-2029
Practice Address - Street 1:3247 ARMOUR DRIVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025
Practice Address - Country:US
Practice Address - Phone:401-910-1812
Practice Address - Fax:402-459-2029
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMOUR DRIVE THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty