Individual
SUSAN ANN DICKSON-MATSUNAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-8943
Mailing address
985450 NEBRASKA MED CTR, OMAHA, NE 68198-5450
(402) 559-8943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1577
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025288900
—
NE
Enumeration date
11/01/2006
Last updated
04/10/2019
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