Individual
SAVANNAH HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1001 SOUTH ST, LINCOLN, NE 68502-2251
(402) 438-0814
Mailing address
7301 N 108TH ST, OMAHA, NE 68142-1109
(402) 606-9254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1256
NE
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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