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Individual

KATIE L AYLWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
755 FALLBROOK BLVD STE 200, LINCOLN, NE 68521-9042
(402) 420-0020
(402) 420-0014
Mailing address
6825 S 27TH ST STE 103, LINCOLN, NE 68512-4872
(402) 202-6671

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1885
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1885
PTA LICENSE
NE
Enumeration date
01/21/2022
Last updated
01/21/2022
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