Individual
MRS. STACY JEAN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7818 DODGE ST, OMAHA, NE 68114-3412
(402) 493-6808
(402) 493-6979
Mailing address
3305 N 163RD PLZ, APT 204, OMAHA, NE 68116-2125
(402) 968-0762
(402) 493-6979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03735
IA
225100000X
Physical Therapist
Primary
2285
NE
225100000X
Physical Therapist
8676
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00443767
MEDICARE RR
NE
Enumeration date
04/05/2006
Last updated
08/19/2008
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