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Individual

DEBORAH GILLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, PTA

Contact information

Practice address
7686 WALNUT ST, OMAHA, NE 68124-1717
(402) 819-8477
Mailing address
7686 WALNUT ST, OMAHA, NE 68124-1717
(402) 819-8477

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
758
NE
225700000X
Massage Therapist
Primary
3253
NE

Other

Enumeration date
03/26/2007
Last updated
12/03/2024
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