Individual
MRS. MARY ANN SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
1240 N 19TH ST, NEBRASKA CITY, NE 68410-1119
(402) 873-4838
(402) 873-4117
Mailing address
1720 4TH CORSO, NEBRASKA CITY, NE 68410-2633
(402) 873-4838
(402) 873-4117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2194
NE
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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