Individual
LISA NASTASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11735 FOWLER AVE, OMAHA, NE 68164-2223
(402) 551-2023
Mailing address
11735 FOWLER AVE, OMAHA, NE 68164-2223
(402) 551-2023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
673
NE
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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