Individual
JOSEPH PAUL LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2305 S 10TH ST, OMAHA, NE 68108-1108
(402) 601-7931
Mailing address
6220 NW 2ND CIR APT 318, LINCOLN, NE 68521-4441
(402) 601-7931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1036
NE
Other
Enumeration date
01/10/2013
Last updated
10/04/2019
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