Individual
EDRISSA MENDY MENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 LODGE DR, GERING, NE 69341-6825
(308) 436-5007
Mailing address
2626 AVENUE A SCOTT BLUFF, SCOTTSBLUFF, NE 69361
(347) 995-0694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NE
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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