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Individual provider · Geriatric Physical Therapist · Omaha, NE

NPI
1336691385
Type
Individual (Type 1)
Primary specialty
Geriatric Physical Therapist (Physical Therapist)
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
2251G0304X
License number
1530 (NE)
Sex
Female
Sole proprietor
No
Enumerated
2016-10-25
Last updated
2016-10-25
Practice location
3202 N 171st Ave
Omaha, NE 68116-2348
(402) 289-2696

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