Individual
ANGIE J GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 238-8917
Mailing address
7601 S 22ND ST, BELLEVUE, NE 68147-2101
(402) 238-8917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001209
IA
225200000X
Physical Therapy Assistant
839
NE
Other
Enumeration date
03/11/2008
Last updated
11/29/2012
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