Individual
EMILY HEROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19111 MASON PLZ, ELKHORN, NE 68022-5659
(402) 504-9797
Mailing address
12067 JACKSON ST, OMAHA, NE 68154-3066
(402) 707-5133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012
NE
Other
Enumeration date
01/16/2023
Last updated
01/17/2023
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