Individual
MS. GILLIAN RACHEL COOLIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3008 S 104TH AVE, OMAHA, NE 68124-2507
(402) 343-1009
Mailing address
3008 S 104TH AVE, OMAHA, NE 68124-2507
(402) 343-1009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
329
NE
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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