Individual
AILEENE MAURICIO NEJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7964
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7846860-2402
UT
Other
Enumeration date
09/17/2013
Last updated
08/12/2024
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