Individual
MS. SANDY J PROKUPEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
602 S 18TH ST, PLATTSMOUTH, NE 68048-2056
(402) 296-2800
Mailing address
1013 3RD AVE, PLATTSMOUTH, NE 68048-1743
(402) 350-3104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
579
NE
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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