Individual
AMANDA R HERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20650 GLENN ST, ELKHORN, NE 68022
(402) 289-2579
Mailing address
12746 CORBY ST, OMAHA, NE 68164-3423
(402) 740-5951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3417
NE
Other
Enumeration date
11/07/2014
Last updated
07/11/2019
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