Individual
CARLY HIEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
905 N CUSTER AVE, GRAND ISLAND, NE 68803-4304
(308) 398-2170
(308) 398-5232
Mailing address
620 N DIERS AVE, SUITE 300, GRAND ISLAND, NE 68803-4984
(308) 382-0344
(308) 382-0341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3246
NE
Other
Enumeration date
08/15/2013
Last updated
11/05/2013
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