Individual
AMANDA MARYANN WELLSANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1046 S 52ND RD, NEBRASKA CITY, NE 68410-6896
(402) 209-3331
Mailing address
1046 S 52ND RD, NEBRASKA CITY, NE 68410-6896
(402) 209-3331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1021
NE
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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