Individual
THERESA HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
130 E 9TH ST, FREMONT, NE 68025-4101
(402) 720-2574
Mailing address
650 HICKORY CIR, WAHOO, NE 68066-1558
(402) 720-2574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
565
NE
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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