Individual
DEANDRA JEANNE NOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
16 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5104
(712) 352-6600
Mailing address
10466 S 131ST ST APT 201, OMAHA, NE 68138-4162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114504
IA
Other
Enumeration date
01/27/2025
Last updated
05/29/2025
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