Individual
MATTHEW LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
620 16TH ST, GERING, NE 69341-3908
(308) 641-7590
Mailing address
620 16TH ST, GERING, NE 69341-3908
(308) 641-7590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1383
NE
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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