Individual
MRS. TAMMY L DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 WALNUT ST, NORTH BEND, NE 68649-5012
(402) 652-3242
Mailing address
363 6TH RD, DODGE, NE 68633-4017
(402) 693-2571
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
286
NE
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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