Individual
AMANDA K NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1533 EUCLID ST, ASHLAND, NE 68003-1243
(402) 920-2190
Mailing address
1533 EUCLID ST, ASHLAND, NE 68003-1243
(402) 920-2190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1759
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1759
—
NE
Enumeration date
05/02/2019
Last updated
05/02/2019
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