Individual
MARIAH DELMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
703 N MAIN ST, MADISON, NE 68748-6009
(402) 454-3373
(402) 454-9021
Mailing address
703 N MAIN ST, MADISON, NE 68748-6009
(402) 454-3373
(402) 454-9021
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2213
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NE2213
STATE LICENSE NUMBER
NE
Enumeration date
07/27/2012
Last updated
07/27/2012
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