Individual
TIFFANY BOELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11850 NICHOLAS ST STE 100, OMAHA, NE 68154-4476
(187) 723-0885
Mailing address
3209 APACHE RD, PITTSBURGH, PA 15241-1113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002858
WV
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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