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Individual

BRENDA L GAWRYCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3131 N 267TH PLZ, WATERLOO, NE 68069-5833
(402) 216-7561
Mailing address
3131 N 267TH PLZ, WATERLOO, NE 68069-5833
(402) 216-7561

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2364
NE
2251G0304X
Geriatric Physical Therapist
4713
IA

Other

Enumeration date
08/02/2011
Last updated
08/02/2011
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