Individual
MRS. HANNAH ELIZABETH DIEDIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-2361
(402) 330-5970
Mailing address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-2361
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
862
NE
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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