Individual
COEDY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11506 NICHOLAS ST, OMAHA, NE 68154-4407
(877) 230-3885
(402) 505-9753
Mailing address
11506 NICHOLAS ST, OMAHA, NE 68154-4407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1105186
KS
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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