Individual
SARAH HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1524 MCHENRY AVE STE 135, MODESTO, CA 95350-4569
(402) 650-8839
Mailing address
6433 FRANKLIN ST, OMAHA, NE 68104-4743
(402) 650-8839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
090978
IA
225200000X
Physical Therapy Assistant
Primary
1660
NE
225200000X
Physical Therapy Assistant
50033
CA
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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