Individual
CALEB KELLY POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14461 AMES PLZ APT 103, OMAHA, NE 68116-6070
(308) 746-1137
Mailing address
14461 AMES PLZ APT 103, OMAHA, NE 68116-6070
(308) 746-1137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1089
NE
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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