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Individual

LAURA A DECHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 345-5683
Mailing address
12502 DEER CREEK DR, OMAHA, NE 68142-1784
(402) 740-6630

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2649
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47065477701
NE
Enumeration date
06/05/2008
Last updated
12/06/2023
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