Individual
DANNIELLE WIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 727-3778
Mailing address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 727-3778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
968
NE
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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