Individual
MADISON HALEY DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17500 BURKE ST, OMAHA, NE 68118-2244
(402) 401-3900
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4375
NE
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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