Individual
MR. JOSE RENANTE AMADO COMBALECER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
15362 MORMON ST, BENNINGTON, NE 68007-1473
(402) 445-4024
(402) 445-4024
Mailing address
15362 MORMON ST, BENNINGTON, NE 68007-1473
(402) 445-4024
(402) 445-4024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1367
NE
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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