Individual
GRACE CANETA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8642 F ST, OMAHA, NE 68127-1639
(402) 393-9390
(402) 393-9388
Mailing address
8642 F ST, OMAHA, NE 68127-1639
(402) 393-9390
(402) 393-9388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
865
NE
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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