Individual
NICOLE SOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2206 LONGO DR, SUITE 211, BELLEVUE, NE 68005-2901
(402) 291-1963
Mailing address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 330-8433
(402) 330-8616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004852
IA
225100000X
Physical Therapist
Primary
3018
NE
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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