Individual
KEENAN MARIE KLEYMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 393-6500
Mailing address
4715 S 162ND AVE, OMAHA, NE 68135-4305
(402) 895-0183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
817
NE
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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