Individual
ANNALEE BAMESBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3119 W FAIDLEY AVE, GRAND ISLAND, NE 68803
(308) 384-2333
Mailing address
2403 W JOHN ST, GRAND ISLAND, NE 68803-5820
(308) 750-2637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1873
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1873
STATE OF NEBRASKA CERTIFICATE NO.
NE
Enumeration date
08/09/2020
Last updated
08/09/2020
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