Individual
SCOTT CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3624 N. 163RD PLAZA, OMAHA, NE 68116
(402) 505-9611
(402) 505-4683
Mailing address
3624 N. 163RD PLAZA, OMAHA, NE 68116
(402) 505-9611
(402) 505-4683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1672
NE
225100000X
Physical Therapist
3499
IA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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