Individual
MR. BRENT HENRY CORDERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
625 N 144TH ST SUITE #1, OMAHA, NE 68154
(402) 350-1131
Mailing address
260 S 199TH ST, ELKHORN, NE 68022-4865
(402) 350-1131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2429
NE
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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