Individual
TAMARA M THIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
815 LOGAN ST, SCRIBNER, NE 68057-3116
(402) 664-2389
(402) 664-2399
Mailing address
815 LOGAN ST, SCRIBNER, NE 68057-3116
(402) 664-2389
(402) 664-2399
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
759
NE
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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