Individual
MRS. ANGELA MARIE RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
325 S 1ST AVE, BROKEN BOW, NE 68822-2213
(308) 346-5111
(308) 346-5111
Mailing address
325 S 1ST AVE, PO BOX 435, BROKEN BOW, NE 68822-2213
(308) 872-5111
(308) 872-5115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102572 TEMP PT
NE
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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