Individual
HOLLY ANN BONASERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1219 LEAVENWORTH ST, OMAHA, NE 68102-3214
(415) 518-5986
Mailing address
11600 OLD MILL DR, BLAIR, NE 68008-6615
(415) 518-5986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2929
NE
Other
Enumeration date
12/04/2006
Last updated
11/19/2015
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