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Individual

AMY S ISHERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
13809 INDUSTRIAL RD, OMAHA, NE 68137-1117
(402) 932-7111
(402) 932-6878
Mailing address
13809 INDUSTRIAL RD, OMAHA, NE 68137-1117
(402) 932-7111
(402) 932-6878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2772
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100025381500
NE
05
47065477701
NE
Enumeration date
06/12/2009
Last updated
11/20/2019
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