Individual
GRACE HALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3830 N 167TH CT, OMAHA, NE 68116-8064
(402) 502-2290
Mailing address
PO BOX 34669, OMAHA, NE 68134-0669
(402) 932-6791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4080
NE
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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