Individual
SUSAN ELAINE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
Mailing address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
301
NE
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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