Individual
CHRISTIANA ROENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4720 RANDOLPH ST, LINCOLN, NE 68510-3741
(402) 486-8520
Mailing address
1725 CONNIE RD, LINCOLN, NE 68502-5533
(402) 312-9650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1580
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1580
PTA LICENSURE
NE
Enumeration date
01/06/2019
Last updated
05/01/2022
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