Individual
ANTHONY J HENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1021 S 178TH ST, SUITE 101, OMAHA, NE 68118-3574
(402) 933-3036
(402) 933-3163
Mailing address
607 DEWEY NWAVE 300, GRAND RAPIDS, MI 49504-7335
(913) 904-1128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3280
NE
Other
Enumeration date
08/12/2013
Last updated
08/04/2015
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