Individual
LIZABETH GASTALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 N 168TH AVE, OMAHA, NE 68116-2615
(402) 850-5761
Mailing address
3021 N 168TH AVE, OMAHA, NE 68116-2615
(402) 850-5761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1401
NE
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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