Individual
KRISTIN CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958
Mailing address
1540 N 72ND ST, OMAHA, NE 68114-1924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3462
NE
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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